Campbell, Audra V

Campbell, Audra V is an individual health care provider with primary practice located at 3991 Dutchmans Ln Ste 303 , Louisville KY 40207-4723. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Campbell, Audra V can be contacted via phone (502) 891-8300.

Contact Information

Primary practice address
3991 Dutchmans Ln Ste 303 Louisville KY 40207-4723
Phone: (502) 891-8300
Fax: (502) 891-8338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3002535 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 3002535 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3002535 Kentucky

Profile Details

NPI number 1396892949
LBN Legal business name Campbell, Audra V
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Apr 24th, 2024 - about 2 years 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 1396892949 NPPES
Kentucky MEDICAID 78003969
Kentucky MEDICAID 200474820

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