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NPI Code Detail

MEDICARE: MR. ROBERT CLAUDE KAMTIO KAMGOUM NP

MEDICARE: MR. ROBERT CLAUDE KAMTIO KAMGOUM NP
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
1363LG0600XGerontology Nurse Practitioner53-78146-01KS

General Provider Information

NPI Number : 1457839573
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT CLAUDE KAMTIO KAMGOUM NP
Provider Business Mailing Address
First Line : 732 S MAPLE ST
Second Line :
City : GARDNER
State : KS
Zip : 66030
Country : US
Telephone Number : 913-244-7319
Fax Number :
Provider Business Practice Location Address
First Line : 406 W 34TH ST STE 428
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-3113
Country : US
Telephone Number : 913-709-2712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2018
Last Update Date : 12/02/2019

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