Individual
RICHARD D CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
1600 E EVERGREEN, CAMERON, MO 64429-0557
(816) 649-3362
(816) 238-4470
Mailing address
1600 E EVERGREEN, PO BOX 557, CAMERON, MO 64429-0557
(816) 649-3362
(816) 238-4470
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
150797
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200263390A
—
KS
05
—
423978329
—
MO
Enumeration date
09/06/2006
Last updated
04/29/2014
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