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NPI Code Detail

MEDICARE: DR. TREY L KAMPLAIN M.D.

MEDICARE:  DR. TREY L KAMPLAIN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianC196109CA

General Provider Information

NPI Number : 1053305680
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TREY L KAMPLAIN M.D.
Provider Business Mailing Address
First Line : 2801 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90806
Country : US
Telephone Number : 562-933-1550
Fax Number : 562-933-8088
Provider Business Practice Location Address
First Line : 8835 GERMANTOWN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19118-2718
Country : US
Telephone Number : 215-248-8200
Fax Number : 215-248-8715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 01/21/2026

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Directions to “ DR. TREY L KAMPLAIN M.D.” Practice Location

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