Individual
KATE LESLYE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7752 GATEWAY LN NW STE 100, CONCORD, NC 28027-4421
(704) 316-4950
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-4950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
245528
NC
363L00000X
Nurse Practitioner
Primary
5009003
NC
363LF0000X
Family Nurse Practitioner
5009003
NC
Other
Enumeration date
07/25/2016
Last updated
08/26/2022
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