KAISON DAMARUS AMES

COLUMBIA, KY
NPI1801574751
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2023-07-10
Last Update Date2023-07-10
Business Address
Mr. KAISON DAMARUS AMES MAT, ATC
210 LINDSEY WILSON ST
COLUMBIA, KY 42728-1298
Phone number: 270-634-2197
Mailing Address
Mr. KAISON DAMARUS AMES MAT, ATC
210 LINDSEY WILSON ST
COLUMBIA, KY 42728-1298
Phone number: