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Organization

KAMP MANAGEMENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELIZABETH M PHILLIPS NP (OWNER)
(318) 366-3039
Entity
Organization

Contact information

Practice address
240 CANDY CRAIG DR, CALHOUN, LA 71225-8661
(318) 366-3039
(318) 325-6202
Mailing address
PO BOX 463, CALHOUN, LA 71225-0463
(318) 366-3039
(318) 325-6202

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05273
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1014231
LA
Enumeration date
03/18/2015
Last updated
03/18/2015
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