Campbell, Kevin

Campbell, Kevin is an individual health care provider with primary practice located at 304 Mount Mercy Dr , Pewee Valley KY 40056-8020. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Campbell, Kevin can be contacted via phone (502) 241-8611.

Contact Information

Primary practice address
304 Mount Mercy Dr Pewee Valley KY 40056-8020
Phone: (502) 241-8611
Fax: (502) 241-4175
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3009043 Kentucky

Profile Details

NPI number 1225426299
LBN Legal business name Campbell, Kevin
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2014
Last updated Jul 26th, 2016 - about 9 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 1225426299 NPPES
Kentucky Other 50083157 PASSPORT
Kentucky MEDICAID 7100326440 PASSPORT

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