Cammisa, Kathryne

Cammisa, Kathryne is an individual health care provider with primary practice located at 310 Barnwell Ave Ne , Aiken SC 29801-4406. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Cammisa, Kathryne can be contacted via phone (803) 641-4144.

Contact Information

Primary practice address
310 Barnwell Ave Ne Aiken SC 29801-4406
Fax: (804) 641-4147
Website:

Profile Details

NPI number 1376604637
LBN Legal business name Cammisa, Kathryne
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Aug 17th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376604637 NPPES
Georgia Other 318108 WELLCARE
Georgia Other 10033920 WELLCARE
Georgia MEDICAID 000634389E WELLCARE
Georgia MEDICAID PH0015 WELLCARE

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