NPI Registry.org

Kathleen Kamba

NPI Registration Record

Provider / OrganizationNPIDate Certified
KATHLEEN KAMBA17002547032022-01-09

Kathleen Kamba is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1700254703. Registration indicates Kathleen Kamba is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )

RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider NameMrs. Kathleen Kamba FNP
Practice Office Address4440 W 95TH ST STE 6409
OAK LAWN, IL US
Practice Office Telephone8776844327
Practice Office Fax7085201875
Mailing Address4440 W 95TH ST STE 6409
OAK LAWN, IL 604532600 US
Business Telephone7086100716
Offices / Locations
AddressCity / StatePhone / Fax
9145 Crescent Ct Oak Lawn, IL 604531452 7086100716
Contact Endpoints
Direct Messaging Address [][email protected]Direct
HPT Codes
CodePractice
License No
State
363LF0000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse PractitionerAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Nurse Practitioner: Family

All Other Specialties & Provider Types

Nurse Practitioner Family
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
209.013207
IL
OPI Codes
1700254703 MEDICAID IL
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