| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KEVIN TAM | 1194273847 | 2022-05-08 |
Kevin Tam is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194273847. Registration indicates Kevin Tam is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, )
| Entity Type | Individual |
| Provider Name | Kevin Tam MS, LAT, ATC |
| Practice Office Address | 2204 CANDICES CHOICE CT APT J BEL AIR, MD US |
| Practice Office Telephone | 3015249177 |
| Mailing Address | 2204 CANDICES CHOICE CT APT J BEL AIR, MD 210156775 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 13 Dawson Ct | Pittsburgh, PA 152134526 | 3015249177 |
| 900 W Creek Village Dr Apt E2 | Elkton, MD 219214209 | 3015249177 |
| 1 Rembert Ct Apt 102 | Parkville, MD 212341721 | 3015249177 |
| Code | Practice | License No State |
|---|---|---|
| 2255A2300X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist |