Individual
KENNETH CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
42084 STATE HIGHWAY 28, MARGARETVILLE, NY 12455
(845) 586-2631
Mailing address
42084 STATE HIGHWAY 28, MARGARETVILLE, NY 12455
(845) 586-2631
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F330869
NY
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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