Individual
KACIE ANNE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 WALNUT ST FL 16, PHILADELPHIA, PA 19107-5176
(215) 829-0101
(215) 454-3625
Mailing address
800 WALNUT ST FL 16, PHILADELPHIA, PA 19107-5176
(215) 829-0101
(302) 327-4200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/09/2015
Last updated
02/05/2018
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