Individual
KATHLEEN M CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM
Contact information
Practice address
1401 N LOUISIANA ST, SILVER CITY, NM 88061-4246
(505) 388-1824
Mailing address
1401 N LOUISIANA ST, SILVER CITY, NM 88061-4246
(505) 388-1824
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
168
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM00RE90
BLUE CROSS BLUE SHIELD
NM
Enumeration date
12/05/2006
Last updated
07/08/2007
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