Provider Demographics
NPI:1427521970
Name:KAMPSEN HEARING LLC
Entity type:Organization
Organization Name:KAMPSEN HEARING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:KAMPSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-877-2685
Mailing Address - Street 1:2835 WEST DE LEON STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609
Mailing Address - Country:US
Mailing Address - Phone:813-877-2685
Mailing Address - Fax:813-876-5872
Practice Address - Street 1:310 SOUTH MACDILL AVENUE
Practice Address - Street 2:SUITE 202
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609
Practice Address - Country:US
Practice Address - Phone:813-876-8374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty