Individual
JOHN KACHLER CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2910 ROYAL FORREST DR, RALEIGH, NC 27614-7651
(919) 782-4894
Mailing address
2910 ROYAL FORREST DR, RALEIGH, NC 27614-7651
(919) 782-4894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010-01797
NC
207Q00000X
Family Medicine Physician
ME63053
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080116174
RR MEDICARE
FL
05
—
375803600
—
FL
05
—
5916307
—
NC
Enumeration date
10/19/2005
Last updated
11/04/2024
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