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Individual
MR. KEVIN SCOTT CAMPBELL SR.
Active
Individual
MR. KEVIN SCOTT CAMPBELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
LA
225000000X
Orthotic Fitter
—
LA
332B00000X
Durable Medical Equipment & Medical Supplies
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440994
—
MS
05
—
1561312
—
LA
01
—
7214531530
BLUE CROSS BLUE SHIELD
LA
01
—
7214531530
BLUE CROSS BLUE SHIELD
MS
Enumeration date
02/16/2007
Last updated
01/16/2008
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