Individual
MR. JAMES KEVIN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1711 DOOLITTLE AVE, FORT WORTH, TX 76127-1133
(817) 782-5914
Mailing address
1805 NEWCASTLE DR, MANSFIELD, TX 76063-7919
(817) 994-3871
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710I1002X
INDEPENDENT DUTY CORPSMAN
—
Enumeration date
03/08/2006
Last updated
09/07/2007
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