Individual
CHRISTOPHER RYAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5432
Mailing address
1929 OAKRIDGE DR, CHARLESTON, WV 25311-1325
(304) 546-1822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
104079
WV
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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