Provider Demographics
NPI:1689611055
Name:KAMPFE, PAUL W (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:W
Last Name:KAMPFE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2222 S 16TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-3796
Mailing Address - Country:US
Mailing Address - Phone:402-475-9090
Mailing Address - Fax:402-475-9092
Practice Address - Street 1:2222 S 16TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-3796
Practice Address - Country:US
Practice Address - Phone:402-475-9090
Practice Address - Fax:402-475-9092
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2012-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2004019688208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
A12849Medicare UPIN