Individual
DR. KEITH E. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
431 MARILYN LN, ALCOA, TN 37701-2118
(865) 233-5858
(865) 233-5870
Mailing address
431 MARILYN LN, ALCOA, TN 37701-2118
(865) 233-5858
(865) 233-5870
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
MD0000037908
TN
207Q00000X
Family Medicine Physician
MD0000037908
TN
2086S0129X
Vascular Surgery Physician
MD0000037908
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4071369
BLUE CROSS BLUE SHIELD OF TENNESSEE
TN
01
—
P00297886
MEIDCARE RAILROAD
TN
Enumeration date
03/24/2006
Last updated
05/05/2021
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