Healthcare Provider Details

I. General information

NPI: 1871998203
Provider Name (Legal Business Name): JULIA M. KAMPSEN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA M. SCHNEIDER/BERGLUND

II. Dates (important events)

Enumeration Date: 10/28/2014
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 BARNES RD
WILLIAMSTOWN KY
41097-9482
US

IV. Provider business mailing address

234 BARNES RD
WILLIAMSTOWN KY
41097-9482
US

V. Phone/Fax

Practice location:
  • Phone: 859-824-5074
  • Fax:
Mailing address:
  • Phone: 859-824-5075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN # - 237301
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3009291
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: