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Individual

MR. KAISON DAMARUS AMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MAT, ATC

Contact information

Practice address
210 LINDSEY WILSON ST, COLUMBIA, KY 42728-1298
(270) 634-2197
Mailing address
210 LINDSEY WILSON ST, COLUMBIA, KY 42728-1298

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/10/2023
Last updated
07/10/2023
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