Individual
KATHRYN R MCCAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7207 N M1 HWY, GLADSTONE, MO 64119-5351
(816) 436-5823
Mailing address
12215 N ATKINS AVE, KANSAS CITY, MO 64163-7301
(641) 414-7799
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
02337
IA
152W00000X
Optometrist
Primary
2005020649
MO
152W00000X
Optometrist
2111
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0492850
—
IA
01
—
19129
WELLMARK
IA
01
—
250894
MIDLANDS CHOICE
IA
01
—
292703
COVENTRY
IA
Enumeration date
07/01/2006
Last updated
05/02/2024
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