Campbell, Kevin Scott

Campbell, Kevin Scott is an sole proprietor health care provider with primary practice located at 722 Louisiana Ave , Bogalusa LA 70427. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, Suppliers / Durable Medical Equipment & Medical Supplies. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Campbell, Kevin Scott can be contacted via phone (985) 730-4357.

Contact Information

Primary practice address
722 Louisiana Ave Bogalusa LA 70427
Phone: (985) 730-4357
Fax: (985) 730-5267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X Louisiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X Louisiana
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Louisiana

Profile Details

NPI number 1992849780
LBN Legal business name Campbell, Kevin Scott
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Jan 16th, 2008 - about 16 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 1992849780 NPPES
Mississippi MEDICAID 00440994
Mississippi MEDICAID 1561312
Mississippi Other 7214531530
Mississippi Other 7214531530

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