Individual
KAMERON DEION IVORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5224 CHANCERY BLVD, GREENWOOD, IN 46143-7176
(615) 788-1097
Mailing address
5224 CHANCERY BLVD, GREENWOOD, IN 46143-7176
(615) 788-1097
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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