Individual
KIM CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
333 E CAMPUS MALL, MADISON, WI 53715-1365
(608) 265-9936
Mailing address
333 E CAMPUS MALL, MADISON, WI 53715-1365
(608) 265-9936
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
138430-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138430-30
STATE OF WISCONSIN
WI
Enumeration date
02/06/2015
Last updated
02/06/2015
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