Individual
DR. AMANDA LYNN KAMPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1919 FAIRFIELD AVE, SHREVEPORT, LA 71101-4436
(318) 828-2210
(318) 828-2215
Mailing address
8493 TANYA DR, GREENWOOD, LA 71033-3337
(318) 938-5660
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
025809
LA
208000000X
Pediatrics Physician
MD.025809
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1046345
—
LA
Enumeration date
08/31/2005
Last updated
06/19/2019
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