Individual
MR. KIM CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1145 S UTICA AVE STE 460, TULSA, OK 74104-4041
(918) 579-5749
(918) 579-5762
Mailing address
1145 S UTICA AVE, STE 460, TULSA, OK 74104-4041
(918) 579-5749
(918) 579-5762
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
197
OK
Other
Enumeration date
07/21/2006
Last updated
06/21/2019
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