Campbell, Kenroy L

Campbell, Kenroy L is an sole proprietor health care provider with primary practice located at 1 Brookdale Plz , Brooklyn NY 11212-3139. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Campbell, Kenroy L can be contacted via phone (718) 240-5000.

Contact Information

Primary practice address
1 Brookdale Plz Brooklyn NY 11212-3139
Phone: (718) 240-5000
Fax: (718) 240-6583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 011789 New York

Profile Details

NPI number 1770805772
LBN Legal business name Campbell, Kenroy L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2010
Last updated Feb 18th, 2010 - about 15 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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