Individual
BRIAN PATRICK CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(720) 635-3932
Mailing address
75 E VETERANS DR APT O103, COOKEVILLE, TN 38501-5242
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000003007
TN
Other
Enumeration date
07/03/2023
Last updated
09/18/2023
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