Campbell, Kimberly M
Campbell, Kimberly M is an individual health care provider with primary practice located at 15 Cavender St , Newnan GA 30263-1931. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Campbell, Kimberly M can be contacted via phone (770) 253-6616.Contact Information
Primary practice address
15 Cavender St
Newnan GA 30263-1931
Phone: (770) 253-6616
Fax: (770) 254-6015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN179027 | Georgia |
Profile Details
| NPI number | 1073573358 |
|---|---|
| LBN Legal business name | Campbell, Kimberly M |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Nov 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073573358 | NPPES |
| Kentucky | MEDICAID | 78003852 | |
| Kentucky | Other | RN179027 | |
| Kentucky | MEDICAID | 2442708 |
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