Provider Demographics
NPI:1922243765
Name:KAMPFE, MARCUS A (DC)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:A
Last Name:KAMPFE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 3RD ST. NORTH
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250
Mailing Address - Country:US
Mailing Address - Phone:904-249-1551
Mailing Address - Fax:904-249-1530
Practice Address - Street 1:710 3RD ST. NORTH
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250
Practice Address - Country:US
Practice Address - Phone:904-249-1551
Practice Address - Fax:904-249-1530
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9656111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor