Individual
KAM MARIE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 E BROAD ST STE 400, COLUMBUS, OH 43213-1505
(614) 371-8585
Mailing address
6400 E BROAD ST STE 400, COLUMBUS, OH 43213-1505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN406837
OH
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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