Individual
MR. BRUCE E CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1121 S CLIFTON AVE, WICHITA, KS 67218-2912
(316) 689-5500
(316) 691-6719
Mailing address
PO BOX 1897, WICHITA, KS 67201-1897
(316) 268-8131
(316) 291-4788
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-44353
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100428690A
—
KS
Enumeration date
06/17/2005
Last updated
02/07/2015
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