Individual
MR. KENNETH WAYNE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1701 PELHAM ROAD, JACKSONVILLE MEDICAL CENTER, JACKSONVILLE, AL 36265
(256) 435-4970
Mailing address
727 COUNTY ROAD 8, HEFLIN, AL 36264-3651
(256) 253-2885
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26081
AL
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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