Provider Demographics
NPI:1598129314
Name:KAMROWSKI, KAITLIN (DO)
Entity type:Individual
Prefix:
First Name:KAITLIN
Middle Name:
Last Name:KAMROWSKI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 WEST 8TH STREET, FACULTY CLINIC BUILDING
Mailing Address - Street 2:3RD FLOOR, BOX FC-12
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209
Mailing Address - Country:US
Mailing Address - Phone:904-244-3903
Mailing Address - Fax:
Practice Address - Street 1:653 WEST 8TH STREET, FACULTY CLINIC BUILDING
Practice Address - Street 2:3RD FLOOR, BOX FC-12
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209
Practice Address - Country:US
Practice Address - Phone:904-244-3903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-07
Last Update Date:2024-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304229-01207L00000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology