| Doctor Name: | KATHLEEN MCFADDEN CAMPOS |
| NPI Number: | 1578964540 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | ARNP1274182 |
| Business Practice Address: | 148 N Palmetto Ave Flagler Beach, FL - 321363303 |
| Business Phone Number: | 3866934750 |
| Business Fax Number: | |
| Mailing Address: | 148 N Palmetto Ave, FLAGLER BEACH |
| State: | FL |
| Postal Code: | 321363303 |
| Phone Number: | 3866934750 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2014 |
| NPI Last Update Date: | 09/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | ARNP1274182 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |