Provider Demographics
NPI:1881027712
Name:KAMGA, AGAPIT
Entity Type:Individual
Prefix:
First Name:AGAPIT
Middle Name:
Last Name:KAMGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1328 HAMPSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-1185
Mailing Address - Country:US
Mailing Address - Phone:240-398-4585
Mailing Address - Fax:
Practice Address - Street 1:1328 HAMPSHIRE DR
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-1185
Practice Address - Country:US
Practice Address - Phone:240-398-4585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide