Individual
PHILIP KAMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 REDROCK DR, REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, GALLUP, NM 87301-5682
(505) 863-7200
Mailing address
1901 REDROCK DR, PFS DEPT, GALLUP, NM 87301-5683
(505) 863-7000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
68-31
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002102
LOVELACE HEALTH/SALUD
NM
05
—
14589
—
NM
05
—
228686
—
AZ
01
—
85031326887301A132
CHAMPUS
—
01
—
NM001458
BC/BS
NM
Enumeration date
01/30/2006
Last updated
07/08/2007
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