Individual
COLTON KAMPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
183 PEARL ST, CORNING, NY 14830-3253
(218) 391-2687
Mailing address
183 PEARL ST, CORNING, NY 14830-3253
(218) 391-2687
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002762-1
NY
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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