Individual
CODY S. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
350 PARK ST, SUITE 203B, BOWLING GREEN, KY 42101-1784
(270) 393-1912
(270) 393-1913
Mailing address
350 PARK ST, SUITE 203B, BOWLING GREEN, KY 42101-1784
(270) 393-1912
(270) 393-1913
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
90844
TN
Other
Enumeration date
11/26/2012
Last updated
01/04/2013
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