Kam, Matthew

Kam, Matthew is an individual health care provider with primary practice located at 4650 Hawthorne Rd Ste 3B , Chubbuck ID 83202-2376. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Kam, Matthew can be contacted via phone (208) 252-5621.

Contact Information

Primary practice address
4650 Hawthorne Rd Ste 3B Chubbuck ID 83202-2376
Phone: (208) 252-5621
Fax: (208) 648-4167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LPC5260 Idaho

Profile Details

NPI number 1457646895
LBN Legal business name Kam, Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2011
Last updated Apr 12th, 2024 - about last year

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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