Individual
MRS. PAULA ORD CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PES
Contact information
Practice address
13 KANAWHA BLVD W, CHARLESTON, WV 25302-2350
(304) 513-3000
Mailing address
2807 NOYES AVE, CHARLESTON, WV 25304-1105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001693
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2015
Last updated
12/18/2019
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