Healthcare Provider Details

I. General information

NPI: 1336597491
Provider Name (Legal Business Name): KEVIN REFAAT KAMMEL M.D.,M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2016
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 SUPERIOR AVE
MUNSTER IN
46321-4037
US

IV. Provider business mailing address

123 N DESPLAINES ST APT 1813
CHICAGO IL
60661-2338
US

V. Phone/Fax

Practice location:
  • Phone: 219-922-4200
  • Fax:
Mailing address:
  • Phone: 517-414-3416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number01098237A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberT8238
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: