Organization
IMMINENT HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS GLENN CAMPBELL PA-C (MEMBER)
(509) 834-1740
Entity
Organization
Contact information
Practice address
1031 N KELLOGG ST, KENNEWICK, WA 99336-7661
(509) 460-1065
(509) 495-1143
Mailing address
1031 N KELLOGG ST, KENNEWICK, WA 99336-7661
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8246290
—
WA
01
—
OP0001658
WA OSTEOPATHIC BOARD
WA
01
—
PA60178683
WA ALLOPATHIC BOARD
WA
Enumeration date
01/27/2021
Last updated
07/01/2023
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