Campbell, Kevin Ray

Campbell, Kevin Ray is an individual health care provider with primary practice located at 7000 Spyglass Ct Ste 220 , Melbourne FL 32940-7948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Campbell, Kevin Ray can be contacted via phone (321) 434-6650.

Contact Information

Primary practice address
7000 Spyglass Ct Ste 220 Melbourne FL 32940-7948
Phone: (321) 434-6650
Fax: (321) 868-8396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME147231 Florida

Profile Details

NPI number 1770581134
LBN Legal business name Campbell, Kevin Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Nov 17th, 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 1770581134 NPPES
Florida MEDICAID 111685900
Florida Other OA351

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