Campbell, Kurtis Alan

Campbell, Kurtis Alan is an individual health care provider with primary practice located at 2003 Medical Pkwy Suite 301, Annapolis MD 21401-7992. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Campbell, Kurtis Alan can be contacted via phone (443) 481-3717.

Contact Information

Primary practice address
2003 Medical Pkwy Suite 301 Annapolis MD 21401-7992
Phone: (443) 481-3717
Fax: (443) 481-3730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X D39104 Maryland
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X D39104 Maryland
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X D0039104 Maryland

Profile Details

NPI number 1740248004
LBN Legal business name Campbell, Kurtis Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Oct 31st, 2012 - about 12 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 1740248004 NPPES
Maryland Other 1765510 AETNA HMO
Maryland Other 0002 AETNA HMO
Maryland MEDICAID 413784100 AETNA HMO
Maryland Other 4501907 AETNA HMO
Maryland Other BCBS AETNA HMO

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