Provider Demographics
NPI:1801988761
Name:KAMCO MEDICAL STAFFING, INC
Entity type:Organization
Organization Name:KAMCO MEDICAL STAFFING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:DONNIE
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:919-383-7799
Mailing Address - Street 1:4310 BENNETT MEMORIAL RD
Mailing Address - Street 2:SUITE 101-B
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-1215
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:866-554-5511
Practice Address - Street 1:4310 BENNETT MEMORIAL RD
Practice Address - Street 2:SUITE 101-B
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-1215
Practice Address - Country:US
Practice Address - Phone:919-383-7799
Practice Address - Fax:866-554-5511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6019280002Medicare NSC