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Individual

ROBERT C CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-5956
Mailing address
2213 DOGWOOD TRACE BLVD, LEXINGTON, KY 40514-2417
(859) 257-7910
(859) 257-7899

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3698A
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
74004185
KY
Enumeration date
10/06/2006
Last updated
07/08/2007
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