Individual
KYLE M KAMPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 MARKET ST, 3RD FLOOR, PHILADELPHIA, PA 19104
(215) 746-6700
Mailing address
3535 MARKET ST., 3RD FLOOR, PHILADELPHIA, PA 19104
(215) 746-6700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD045520E
PA
2084P0802X
Addiction Psychiatry Physician
MD045520E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013059010004
—
PA
Enumeration date
07/04/2006
Last updated
08/10/2015
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