Provider Demographics
NPI:1306040092
Name:DECAMP, BYRON SETH (MD)
Entity Type:Individual
Prefix:DR
First Name:BYRON
Middle Name:SETH
Last Name:DECAMP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7420 SWITZER RD
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66203-4550
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:330 ARKANSAS ST STE 202
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1394
Practice Address - Country:US
Practice Address - Phone:785-505-2200
Practice Address - Fax:785-505-5237
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2022-12-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-413182086S0129X
TXN62532086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS30004629860001Medicaid