Individual
RADLEY NATHAN KAMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1819 E GENEVA ST, DELAVAN, WI 53115-2037
(262) 740-2549
Mailing address
5411 HIGHWAY 50, DELAVAN, WI 53115-3731
(608) 279-0719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14532-40
WI
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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