Individual
KIMBERLY M CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
15 CAVENDER ST, NEWNAN, GA 30263-1931
(770) 253-6616
(770) 254-6015
Mailing address
15 CAVENDER ST, NEWNAN, GA 30263-1931
(770) 253-6616
(770) 254-6015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN179027
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2442708
—
OH
05
—
78003852
—
KY
01
—
RN179027
GA NURSING LICENSE
GA
Enumeration date
03/23/2006
Last updated
11/19/2008
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