Healthcare Provider Details

I. General information

NPI: 1619980943
Provider Name (Legal Business Name): STEVEN L KAMB CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W 8TH ST
BELOIT KS
67420-1605
US

IV. Provider business mailing address

PO BOX 17978
RICHMOND VA
23226-7978
US

V. Phone/Fax

Practice location:
  • Phone: 785-738-2266
  • Fax:
Mailing address:
  • Phone: 804-289-4937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number217546
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number557952
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: