Individual
KENNETH LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SC.D., ATC
Contact information
Practice address
5850 E STILL CIR, MESA, AZ 85206-3618
(480) 245-6244
Mailing address
4111 N DRINKWATER BLVD APT D402, SCOTTSDALE, AZ 85251-3671
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0994
AZ
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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