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Individual

HILLARY R CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1908 N MAIN ST, HAZARD, KY 41701-2505
(606) 439-2662
Mailing address
PO BOX 959, HAZARD, KY 41702-0959
(606) 435-2961
(606) 435-2966

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
KY
363AM0700X
Medical Physician Assistant
10001962A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10001962A
LICENSE NUMBER
IN
01
PA2227
LICENSE KY
KY
Enumeration date
11/12/2015
Last updated
11/26/2024
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