Kamba, Kathleen Marie

Kamba, Kathleen Marie is an sole proprietor health care provider with primary practice located at 4440 W 95Th St Ste 6409 , Oak Lawn IL 60453-2600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kamba, Kathleen Marie can be contacted via phone (877) 684-4327.

Contact Information

Primary practice address
4440 W 95Th St Ste 6409 Oak Lawn IL 60453-2600
Fax: (708) 520-1875
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.013207 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277-001221 Illinois

Profile Details

NPI number 1700254703
LBN Legal business name Kamba, Kathleen Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2015
Last updated Jun 24th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700254703 NPPES
Illinois MEDICAID 1700254703

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