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Individual

MRS. RACHEL DAVENPORT-CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
192 LONDON SHOPPING CTR, STE 2, LONDON, KY 40741-3015
(606) 330-7370
(606) 330-7315
Mailing address
4071 TATES CREEK CENTRE DR, STE 202, LEXINGTON, KY 40517-3094
(606) 330-7370
(606) 330-7315

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1102941
KY
363LF0000X
Family Nurse Practitioner
Primary
3006693
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100215250
KY
Enumeration date
12/22/2010
Last updated
12/03/2020
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