Campbell, Kathleen Susan
Campbell, Kathleen Susan is an individual health care provider with primary practice located at 111 Colchester Ave 125Ba3, Burlington VT 05401-1473. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Campbell, Kathleen Susan can be contacted via phone (802) 847-8675.Contact Information
Primary practice address
111 Colchester Ave 125Ba3
Burlington VT 05401-1473
Phone: (802) 847-8675
Fax: (802) 847-2311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 010548-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 055-0030834 | Vermont |
Profile Details
| NPI number | 1518019769 |
|---|---|
| LBN Legal business name | Campbell, Kathleen Susan |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Apr 13th, 2010 - about 14 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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