Individual
MRS. KATHY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1013 MASTER ST, CORBIN, KY 40701-1065
(606) 280-7772
(606) 620-5416
Mailing address
1013 MASTER ST, CORBIN, KY 40701-1065
(859) 277-9436
(859) 977-0092
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3628P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000522081
ANTHEM BCBS
KY
05
—
78006202
—
KY
01
—
P00305163
RAILROAD MEDICARE
KY
Enumeration date
06/02/2006
Last updated
02/01/2018
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