Individual
MRS. CARRIE JO KAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8645 CONNECTICUT ST, MERRILLVILLE, IN 46410-6222
(219) 769-3500
Mailing address
9111 GRAND BLVD, MERRILLVILLE, IN 46410-7429
(219) 398-8165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014712
IL
363LF0000X
Family Nurse Practitioner
71007357A
IN
Other
Enumeration date
08/24/2016
Last updated
02/23/2019
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