Provider Demographics
NPI:1598755209
Name:KAM, BENJAMIN C C JR (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:C C
Last Name:KAM
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 64558
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80962-4558
Mailing Address - Country:US
Mailing Address - Phone:719-452-8509
Mailing Address - Fax:719-453-0275
Practice Address - Street 1:1625 MEDICAL CENTER PT STE 215
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-5798
Practice Address - Country:US
Practice Address - Phone:719-452-8509
Practice Address - Fax:719-453-0275
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2021-10-14
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Provider Licenses
StateLicense IDTaxonomies
CODR.0046403207X00000X
ORMD21825207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery