Individual
KURTIS ALAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2003 MEDICAL PKWY, SUITE 301, ANNAPOLIS, MD 21401-7992
(443) 481-3717
(443) 481-3730
Mailing address
PO BOX 64475, BALTIMORE, MD 21264-4475
(443) 481-6566
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
D39104
MD
2086S0102X
Surgical Critical Care Physician
D39104
MD
2086X0206X
Surgical Oncology Physician
Primary
D0039104
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002
BCBS
DC
01
—
1765510
AETNA HMO
MD
05
—
413784100
—
MD
01
—
4501907
AETNA
MD
01
—
BCBS
52828905
MD
Enumeration date
05/03/2006
Last updated
10/31/2012
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