Individual
MS. ANDREA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 S HOPPER ST, KENNETT, MO 63857-3034
(573) 559-5146
Mailing address
206 S HOPPER ST, KENNETT, MO 63857-3034
(573) 559-5146
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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