Individual
MICHAEL ROY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C
Contact information
Practice address
215 CENTRAL AVE, SUITE 200, LOUISVILLE, KY 40208-1418
(502) 587-4991
Mailing address
6025 RISING FAWN CT, GEORGETOWN, IN 47122-8767
(812) 951-3317
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
36000596A
IN
2255A2300X
Athletic Trainer
Primary
AT385
KY
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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