Campbell, Kattya

Campbell, Kattya is an individual health care provider with primary practice located at 3125 Myers St , Riverside CA 92503-5527. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Campbell, Kattya can be contacted via phone (951) 358-7630.

Contact Information

Primary practice address
3125 Myers St Riverside CA 92503-5527
Phone: (951) 358-7630
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X MPSS-WVMHZQ California
Other Service Providers / Community Health Worker 172V00000X MPSS-WVMHZQ California

Profile Details

NPI number 1821727876
LBN Legal business name Campbell, Kattya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2022
Last updated Nov 16th, 2023 - 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 1821727876 NPPES
California MEDICAID 175T00000X
California MEDICAID 172V00000X

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