Individual
SAMANTHA E KAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, NP-C
Contact information
Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8867
(314) 268-5134
Mailing address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(145) 778-8673
(314) 268-5134
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017003583
MO
363LF0000X
Family Nurse Practitioner
209015719
IL
Other
Enumeration date
04/19/2017
Last updated
06/22/2020
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