Individual
KAITLIN MCCLENAHAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1414 CROSS ST STE 210, SHILOH, IL 62269-2988
(618) 767-7000
Mailing address
1414 CROSS ST STE 210, SHILOH, IL 62269-2988
(618) 767-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036149656
IL
207Q00000X
Family Medicine Physician
TL.0006075
CO
208M00000X
Hospitalist Physician
036149656
IL
Other
Enumeration date
05/20/2013
Last updated
05/16/2023
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