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Individual

VIRGINIA A. CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
6511 JOHNSON DR, MISSION FAMILY HEALTH CARE, MISSION, KS 66202-2616
(913) 945-9680
(913) 945-9681
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312, WESTWOOD, KS 66205-2005
(913) 588-9000
(913) 588-9822

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-19488
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10001636000
CHP PROVIDER NUMBER
05
100428200A
KS
01
10448055
BCBS
01
157695XX
PREFERRED CARE OF NY
01
2061912
AETNA
01
25562039
BCBS KUMW UC
01
2981830
AETNA KUMW UC
01
325323
FIRSTGUARD KUMW UC
01
481159444
JAYHAWK TAX ID
Enumeration date
04/26/2006
Last updated
07/08/2014
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