Campbell, Kirstin Lee

Campbell, Kirstin Lee is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Campbell, Kirstin Lee can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-1002
Phone: (843) 792-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2009007998 Missouri
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2009007998 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 51414 South Carolina

Profile Details

NPI number 1396913828
LBN Legal business name Campbell, Kirstin Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2008
Last updated Jul 21st, 2022 - 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 1396913828 NPPES
Missouri MEDICAID 1396913828

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