Provider Demographics
NPI:1528955994
Name:KAM, ISAIAH PATRICK (HIS)
Entity type:Individual
Prefix:
First Name:ISAIAH
Middle Name:PATRICK
Last Name:KAM
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 HEARTLAND LN
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37127-7119
Mailing Address - Country:US
Mailing Address - Phone:615-573-8909
Mailing Address - Fax:615-713-3355
Practice Address - Street 1:1630 S CHURCH ST STE 203
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-5554
Practice Address - Country:US
Practice Address - Phone:615-709-6682
Practice Address - Fax:615-713-3355
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1114237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist