Campbell, Jan L
Campbell, Jan L is an sole proprietor health care provider with primary practice located at University Of Kansas Medical Ctr 3901 Rainbow Blvd, Ms 4015, Kansas City KS 66160-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Campbell, Jan L can be contacted via phone (913) 588-6493.Contact Information
Primary practice address
University Of Kansas Medical Ctr 3901 Rainbow Blvd, Ms 4015
Kansas City KS 66160-0001
Phone: (913) 588-6493
Fax: (913) 588-6414
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 04-26766 | Kansas |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 21528 | Iowa |
Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | R5H10 | Missouri |
Profile Details
NPI number | 1801816780 |
---|---|
LBN Legal business name | Campbell, Jan L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 20th, 2006 |
Last updated | Jun 28th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801816780 | NPPES |
Kansas | MEDICAID | 100424720A | |
Kansas | MEDICAID | 205918303 |
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