MEDICARE: CHRISTOPHER JON KAMPFE JR. PA-C

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
1	363A00000X	Physician Assistant	PA170060	CA

General Provider Information

NPI Number	:	1154333045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER JON KAMPFE JR. PA-C

Provider Business Mailing Address
First Line	:	PO BOX 28949
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93729-8949
Country	:	US
Telephone Number	:	559-228-4200
Fax Number	:	559-224-3920

Provider Business Practice Location Address
First Line	:	7145 N CHESTNUT AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-0359
Country	:	US
Telephone Number	:	559-299-1178
Fax Number	:	559-326-2170

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	04/03/2020

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