Kenneth L Cameron, PHD, ATC

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

License

000344 Issued in NY

Practice address

900 Washington Rd
West Point, NY 10996-1109

Phone

(480) 215-7060

NPI assigned

Jul 22, 2010

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2010.

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1376856047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON ROAD",
            "address_2": "KELLER ARMY HOSPITAL",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "10996",
            "telephone_number": "845-938-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON RD",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961109",
            "telephone_number": "480-215-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "KENNETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "NY",
            "license": "000344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Lynn Brewer, DDS
• Tiffany Brown, PHD
• Michael J Burlingame, LCSWR
• Nancy E Bushinsky, LMSW, CASAC
• Robert Allen Byrne, PH.D.
• Patricia A Capobianco, LCSW
• James D Carrell, O.D.
• Jane J Chen
• Junghun Frederick Choi, DDS
• Brian Joseph Colsant, M.D.

• All providers in West Point, NY
• Research Study Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.