Individual
DR. KRISTIN L CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
12 LEXINGTON BLVD, DELAWARE, OH 43015-4071
(740) 369-2020
(740) 369-0731
Mailing address
12 LEXINGTON BLVD, DELAWARE, OH 43015-4071
(740) 369-2020
(740) 369-0731
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4444 T1168
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000120234
ANTHEM TRADITIONAL PLAN
OH
01
—
1279940001
ADMINISTAR FEDERAL PIN
OH
Enumeration date
11/07/2005
Last updated
04/20/2008
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