Campbell, Kerri Patricia
Campbell, Kerri Patricia is an individual health care provider with primary practice located at 500 Laser Dr Ne , Rio Rancho NM 87124-4517. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Campbell, Kerri Patricia can be contacted via phone (505) 896-0667.Contact Information
Primary practice address
500 Laser Dr Ne
Rio Rancho NM 87124-4517
Phone: (505) 896-0667
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 2121 | New Mexico |
Profile Details
| NPI number | 1396963575 |
|---|---|
| LBN Legal business name | Campbell, Kerri Patricia |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1396963575 | NPPES |
| New Mexico | MEDICAID | 9357378 |
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