Campbell, Kevin Martin

Campbell, Kevin Martin is an individual health care provider with primary practice located at 1503 Lansdowne Ave Ste 3006 , Darby PA 19023-1306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Campbell, Kevin Martin can be contacted via phone (610) 237-4561.

Contact Information

Primary practice address
1503 Lansdowne Ave Ste 3006 Darby PA 19023-1306
Phone: (610) 237-4561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD031598E Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD031598E Pennsylvania

Profile Details

NPI number 1245231000
LBN Legal business name Campbell, Kevin Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Apr 15th, 2013 - about 11 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 1245231000 NPPES
Pennsylvania MEDICAID 001046695

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