Doctor Name: | MRS. KIMBERLY S CAMPBELL |
NPI Number: | 1093945222 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 70000215A |
Business Practice Address: | 1713 E 10th St Jeffersonville, IN - 471307100 |
Business Phone Number: | 8122821617 |
Business Fax Number: | |
Mailing Address: | 1713 E 10th St, JEFFERSONVILLE |
State: | IN |
Postal Code: | 471307100 |
Phone Number: | 8122821617 |
Fax Number: | |
NPI Enumeration Date: | 07/22/2009 |
NPI Last Update Date: | 10/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | 70000215A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |