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NPI Code Detail

MEDICARE: SHAWN E KAMPS MD

MEDICARE:   SHAWN E KAMPS  MD
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
12085P0229XPediatric Radiology PhysicianML20007232WA

General Provider Information

NPI Number : 1710999255
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWN E KAMPS MD
Provider Business Mailing Address
First Line : 1959 NE PACIFIC ST
Second Line : C212, BOX 356340
City : SEATTLE
State : WA
Zip : 98195-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1959 NE PACIFIC ST
Second Line : C212, BOX 356340
City : SEATTLE
State : WA
Zip : 98195-0001
Country : US
Telephone Number : 206-543-0065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 06/21/2017

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Directions to “ SHAWN E KAMPS MD” Practice Location

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