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Kevin Anthony Caccamo
Private Vehicle in Keystone, Indiana
NPI 1720417397

Kevin Anthony Caccamo is a Private Vehicle based in Keystone, IN. Kevin Anthony Caccamo practices in Keystone, IN. The NPI Number for Kevin Anthony Caccamo is 1720417397 and holds a License No. 8926571882 (Indiana).

The current practice location address for Kevin Anthony Caccamo is 5137 E 1100 S # 2, Keystone, IN and can be reached out via phone at 260-346-2961 and via fax at 260-346-2961.

Location: 5137 E 1100 S # 2, Keystone, IN, 46759-9752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720417397
Provider Name
Kevin Anthony Caccamo
Credential
Provider Entity Type
Individual
Gender
Male
Address
5137 E 1100 S # 2, Keystone, IN, 46759-9752
Phone Number
260-346-2961
Fax Number
260-346-2961
Provider Enumeration Date
11/04/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201167230A 05 IN
institution
Provider Business Practice Location Address Details
Address
5137 E 1100 S # 2
City
Keystone
State
Indiana
Zip
46759-9752
Phone Number
260-346-2961
Fax Number
260-346-2961
person
Provider Business Mailing Address Details
Address
5137 E 1100 S # 2
City
Keystone
State
Indiana
Zip
46759-9752
Phone Number
260-346-2961
Fax Number
260-346-2961
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
8926571882 (Indiana)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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