| Doctor Name: | KRIS LEE KAMPF |
| NPI Number: | 1144630096 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | CP00002186 |
| Business Practice Address: | 3804 Hastings Ave W Port Townsend, WA - 983689642 |
| Business Phone Number: | 3603855505 |
| Business Fax Number: | 3603853605 |
| Mailing Address: | Po Box 102, PORT TOWNSEND |
| State: | WA |
| Postal Code: | 983680102 |
| Phone Number: | 3603855505 |
| Fax Number: | 3603853605 |
| NPI Enumeration Date: | 04/30/2014 |
| NPI Last Update Date: | 04/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CP00002186 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |