Individual
MARK RUE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 N MAIN ST, TRENTON, KY 42286-9734
(270) 466-9300
(270) 466-3300
Mailing address
PO BOX 990, 102 W 18TH STREET, HOPKINSVILLE, KY 42241-0990
(270) 466-9300
(270) 466-3300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22075
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64220759
—
KY
Enumeration date
09/23/2005
Last updated
08/10/2020
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