Provider Demographics
NPI:1144521618
Name:KAMPS, ROBERT R
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:R
Last Name:KAMPS
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:R
Other - Last Name:KAMPS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1266 STRATFORD WOODS DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-7434
Mailing Address - Country:US
Mailing Address - Phone:740-344-7464
Mailing Address - Fax:
Practice Address - Street 1:1266 STRATFORD WOODS DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-7434
Practice Address - Country:US
Practice Address - Phone:740-344-7464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.039330207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine