Kodjo Amegan
Kodjo Amegan is an Athletic Trainer in Macomb, Illinois. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
305 E Carroll StMacomb, IL 61455-2351
Phone: (719) 671-0129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1215486527 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 27, 2016 |
| Last updated in NPPES | September 27, 2016 |
| Mailing address | 305 E Carroll St, Macomb, IL 61455-2351 |
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Molly Lynn Anderson
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Miss. Amy Beckman, MS, ATC, CSCS
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Mr. Chad C Cerullo, MS, LAT, ATC
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