Healthcare Provider Details

I. General information

NPI: 1316875644
Provider Name (Legal Business Name): EUNICE KAMPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 HALL HAY ST
CRIVITZ WI
54114-1673
US

IV. Provider business mailing address

718 HALL HAY ST
CRIVITZ WI
54114-1673
US

V. Phone/Fax

Practice location:
  • Phone: 715-854-2721
  • Fax: 715-854-3755
Mailing address:
  • Phone: 715-854-2721
  • Fax: 715-854-3755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1590066771
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: