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Individual

DR. KIRSTIN LEE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-1002
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2009007998
MO
208000000X
Pediatrics Physician
Primary
51414
SC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2009007998
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396913828
MO
Enumeration date
02/19/2008
Last updated
07/21/2022
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