MEDICARE: DELMAR KAMPE DO

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	207P00000X	Emergency Medicine Physician	A-915-90	NM

General Provider Information

NPI Number	:	1356386213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELMAR KAMPE DO

Provider Business Mailing Address
First Line	:	PO BOX 26666
Second Line	:	PHS PROVIDER ENROLLMENT
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87125-6666
Country	:	US
Telephone Number	:	505-923-6770
Fax Number	:

Provider Business Practice Location Address
First Line	:	2669 NORTH SCENIC
Second Line	:
City	:	ALAMOGORDO
State	:	NM
Zip	:	88310
Country	:	US
Telephone Number	:	505-439-6100
Fax Number	:

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

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	09/15/2017

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