Individual
DR. KEVIN JON CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
118 GATEWAY DR., NORTH SIOUX CITY, SD 57049-1427
(605) 232-3833
(605) 232-5255
Mailing address
1853 GLEN ELLEN RD, SIOUX CITY, IA 51106-5449
(712) 274-9812
(605) 232-5255
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
838
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025022600
—
NE
05
—
2916775
—
IA
05
—
7604054
—
SD
Enumeration date
08/03/2005
Last updated
07/09/2007
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