# JOHN KACHLER CAMPBELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1740279033
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2010-01797 | NC | Yes |
| 207Q00000X | Family Medicine Physician | ME63053 | FL | — |

## Other

- **Enumeration date:** 10/19/2005
- **Last updated:** 11/04/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080116174 | RR MEDICARE | FL |
| 05 | — | 375803600 | — | FL |
| 05 | — | 5916307 | — | NC |