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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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