Campbell, Kimberly Anne

Campbell, Kimberly Anne is an individual health care provider with primary practice located at 141 Longwater Dr , Norwell MA 02061-1632. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Campbell, Kimberly Anne can be contacted via phone (781) 878-5200.

Contact Information

Primary practice address
141 Longwater Dr Norwell MA 02061-1632
Phone: (781) 878-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN256606 Massachusetts

Profile Details

NPI number 1689940348
LBN Legal business name Campbell, Kimberly Anne
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2012
Last updated Feb 13th, 2014 - about 10 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 1689940348 NPPES
Other 1689940348 FALLON
Other 1689940348 FALLON
Other 042297845 FALLON
Other SS0123 FALLON
MEDICAID 110091947A FALLON

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