Kodjo Amegan

NPI #1215486527 in Macomb, Illinois

Provider Information

NPI Number: 1215486527
Entity Type: Individual
Name: Kodjo Amegan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 27, 2016
Last Updated: Sep 27, 2016

Practice Location

Address: 305 E CARROLL ST
City: Macomb
State: Illinois
ZIP Code: 61455-2351
Phone: (719) 671-0129

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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