Healthcare Provider Details

I. General information

NPI: 1801988761
Provider Name (Legal Business Name): KAMCO MEDICAL STAFFING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 06/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 BENNETT MEMORIAL RD SUITE 101-B
DURHAM NC
27705-1215
US

IV. Provider business mailing address

4310 BENNETT MEMORIAL RD SUITE 101-B
DURHAM NC
27705-1215
US

V. Phone/Fax

Practice location:
  • Phone: 919-383-7799
  • Fax: 866-554-5511
Mailing address:
  • Phone:
  • Fax: 866-554-5511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. DONNIE THOMAS ALLEN JR.
Title or Position: VP
Credential:
Phone: 919-383-7799