Provider Demographics
NPI:1285960120
Name:KAMPS, ARIELLE (MD, RD)
Entity type:Individual
Prefix:DR
First Name:ARIELLE
Middle Name:
Last Name:KAMPS
Suffix:
Gender:F
Credentials:MD, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27089 BAGLEY RD
Mailing Address - Street 2:
Mailing Address - City:OLMSTED TWP
Mailing Address - State:OH
Mailing Address - Zip Code:44138-1103
Mailing Address - Country:US
Mailing Address - Phone:216-387-2619
Mailing Address - Fax:
Practice Address - Street 1:27089 BAGLEY RD
Practice Address - Street 2:
Practice Address - City:OLMSTED TWP
Practice Address - State:OH
Practice Address - Zip Code:44138-1103
Practice Address - Country:US
Practice Address - Phone:216-387-2619
Practice Address - Fax:440-235-2566
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.139501207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine