Individual
BRANDON CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4120 WOODED ACRE LN, LOUISVILLE, KY 40245-2938
(502) 243-1643
Mailing address
4121 WOODED ACRE LANE, LOUISVILLE, KY 40245
(502) 243-1643
Taxonomy
Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
364SL0600X
KY
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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