Provider Demographics
NPI:1811252919
Name:KAMAUFF, VICKY T (APRN)
Entity type:Individual
Prefix:
First Name:VICKY
Middle Name:T
Last Name:KAMAUFF
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11855 NW CROOKED RD
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-4934
Mailing Address - Country:US
Mailing Address - Phone:785-633-5096
Mailing Address - Fax:
Practice Address - Street 1:11855 NW CROOKED RD
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MO
Practice Address - Zip Code:64152-4934
Practice Address - Country:US
Practice Address - Phone:785-633-5096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-76285-092363LN0000X
MO2000161284163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal