MEDICARE: KATHRYN CAMBRON MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	38664	WA
2	2085R0202X	Diagnostic Radiology Physician	MC-166	GU
3	2085R0202X	Diagnostic Radiology Physician	2018036777	MO
4	2085R0202X	Diagnostic Radiology Physician	ME141775	FL
5	2085R0202X	Diagnostic Radiology Physician	11561C	WY
6	2085R0202X	Diagnostic Radiology Physician	15333	ND

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1396749867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN CAMBRON MD

Provider Business Mailing Address
First Line	:	2930 SQUALICUM PKWY
Second Line	:	STE B10
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-1854
Country	:	US
Telephone Number	:	360-733-0430
Fax Number	:	360-733-0438

Provider Business Practice Location Address
First Line	:	1010 N 102ND ST STE 201
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-2122
Country	:	US
Telephone Number	:	833-228-6889
Fax Number	:	877-853-0376

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2005
Last Update Date	:	06/02/2026

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398