Individual
KEVIN LAMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6431 OLD BRANCH AVE, TEMPLE HILLS, MD 20748-2607
(202) 647-0304
Mailing address
6431 OLD BRANCH AVE, TEMPLE HILLS, MD 20748-2607
(202) 647-0304
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042050500
—
DC
Enumeration date
03/09/2020
Last updated
03/09/2020
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