Healthcare Provider Details

I. General information

NPI: 1184627127
Provider Name (Legal Business Name): STEVEN J KAMBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 05/30/2016
Certification Date:
Deactivation Date: 03/16/2006
Reactivation Date: 04/03/2006

III. Provider practice location address

5120 DIXIE HWY SUITE 101
LOUISVILLE KY
40216-1702
US

IV. Provider business mailing address

PO BOX 950293
LOUISVILLE KY
40295-0293
US

V. Phone/Fax

Practice location:
  • Phone: 502-448-7853
  • Fax: 502-448-2281
Mailing address:
  • Phone: 888-987-1785
  • Fax: 405-609-1491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number26051
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: