MR. TIMOTHY MICHAEL KAMP FNP-C NPI 1932633443

NPI Information

NPI: 1932633443
Provider Name: MR. TIMOTHY MICHAEL KAMP, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: FAIRVIEW HEIGHTS MEDICAL GROUP SC

PECOS Registration: Yes

Address:
4 MEMORIAL DR STE 130B
ALTON, IL
ZIP 62002
Phone: (618) 463-7600
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MR. Timothy Michael Kamp, FNP-C is a family nurse practitioner in Alton, IL with 8 years of experience. MR. Timothy Michael Kamp, FNP-C NPI is 1932633443. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

4 MEMORIAL DR STE 130B
ALTON, IL
ZIP 62002-704
Phone: (618) 463-7600
Fax: (618) 463-7601

The NPI 1932633443 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2017 and was last updated on 3/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209015660	ILLINOIS	Yes
2	363LF0000X	Nurse Practitioner	Family	2017001794	MISSOURI	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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