Individual
JEREMY KAMPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4225 ROOSEVELT WAY NE, SEATTLE, WA 98105-6099
(206) 598-4067
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
207ND0101X
WA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD60320800
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730390055
—
WA
Enumeration date
05/25/2007
Last updated
03/05/2014
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