Individual
DR. KEVIN MARTIN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1503 LANSDOWNE AVE STE 3006, DARBY, PA 19023-1306
(610) 237-4561
Mailing address
PO BOX 775, BLUE BELL, PA 19422-0775
(610) 237-4561
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD031598E
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD031598E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001046695
—
PA
Enumeration date
08/02/2005
Last updated
04/15/2013
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