Individual
DR. KEVIN MATTHEW CAMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
381 GARDINERS AVE, LEVITTOWN, NY 11756-3701
(516) 731-8848
(516) 731-8335
Mailing address
381 GARDINERS AVE, LEVITTOWN, NY 11756-3701
(516) 731-8848
(516) 731-8335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008428
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C08428 7
WORKERS COMPENSATION BOAR
NY
Enumeration date
07/28/2006
Last updated
01/20/2011
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