Individual
KATHLEEN HELEN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1207 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6101
(859) 258-4411
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2651
KY
363AM0700X
Medical Physician Assistant
PA2651
KY
363AS0400X
Surgical Physician Assistant
PA2651
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100689270
—
KY
Enumeration date
05/29/2020
Last updated
09/05/2025
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