Basic Information
| Provider Information | |||||||||
| NPI: | 1295835684 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAMM | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | CONRAD | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5959 S SHERWOOD FOREST BLVD | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708166038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2257655727 | ||||||||
| FaxNumber: | 2257659196 | ||||||||
| Practice Location | |||||||||
| Address1: | 7829 YOUREE DR | ||||||||
| Address2: | PULMONARY AND CRITICAL CARE SPECIALISTS | ||||||||
| City: | SHREVEPORT | ||||||||
| State: | LA | ||||||||
| PostalCode: | 711055505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3187978777 | ||||||||
| FaxNumber: | 3187977006 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2006 | ||||||||
| LastUpdateDate: | 03/30/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | 15578R | LA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207R00000X | 15578R | LA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RP1001X | 15578R | LA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 208M00000X | 15578R | LA | N | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.