Individual
ALLISON LEE KAMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-3197
(608) 263-1530
Mailing address
201 E HURON ST, GALTER 11-140, CHICAGO, IL 60611-3197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4067-23
WI
363AM0700X
Medical Physician Assistant
4067-23
WI
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1105167
NCCPA CERTIFICATION NUMBER
—
01
—
4067
WI LICENSE
WI
Enumeration date
07/12/2012
Last updated
01/13/2021
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