Individual
KENNEY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 AMADOR DR, FORT WORTH, TX 76177-2227
(682) 667-2721
Mailing address
6752 THADDEUS DR, FORT WORTH, TX 76137-6641
(682) 667-2721
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT122234
TX
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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