Individual provider · Type 1 NPI

Kevin Anthony Caccamo

Private Vehicle · Keystone, IN

NPI number 1720417397 Active

Practice location

5137 E 1100 S # 2
Keystone, IN 46759-9752

Call (260) 346-2961 Map

Fax (260) 346-2961

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000X8926571882 (IN)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

About NPI 1720417397

Kevin Anthony Caccamo's National Provider Identifier is 1720417397, issued on Nov 4, 2013. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Keystone, IN. The record was last updated on Nov 4, 2013.