Campbell, Bruce E

Campbell, Bruce E is an individual health care provider with primary practice located at 1121 S Clifton Ave , Wichita KS 67218-2912. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Campbell, Bruce E can be contacted via phone (316) 689-5500.

Contact Information

Primary practice address
1121 S Clifton Ave Wichita KS 67218-2912
Phone: (316) 689-5500
Fax: (316) 691-6719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 53-44353 Kansas

Profile Details

NPI number 1255336913
LBN Legal business name Campbell, Bruce E
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Feb 7th, 2015 - about 9 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 1255336913 NPPES
Kansas MEDICAID 100428690A

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