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Individual
BERRY ALLEN CAMPBELL
Active
Individual
BERRY ALLEN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
13001
SC
207VM0101X
Maternal & Fetal Medicine Physician
28208
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000219605
ANTHEM BCBS
KY
01
—
13001
MEDICAL LICENSE
SC
05
—
130012
—
SC
05
—
64282080
—
KY
Enumeration date
07/24/2006
Last updated
03/25/2025
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