KEVIN A CACCAMO, Private Vehicle KEYSTONE, IN

Contact Information

KEVIN A CACCAMO

5137 E 1100 S # 2
KEYSTONE, IN 46759-9752

Phone: 260-346-2961
Fax: 260-346-2961
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Private Vehicle	347C00000X

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NPI Profile & details for KEVIN A CACCAMO · (Male)

NPI #	`1720417397`
Status	Active
Credentials
Entity	Individual
Enumeration date	11/04/2013
Last updated	11/04/2013 - About 13 years ago
Sole proprietor ¹	Yes
Identifiers	IN License # 8926571882 IN Medicaid 201167230A
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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KEVIN A CACCAMOPrivate Vehicle

Contact Information

Specialty

Private Vehicle

NPI Profile & details for KEVIN A CACCAMO · (Male)

Reviews for KEVIN A CACCAMO

KEVIN A CACCAMO
Private Vehicle