Individual
DANIELLE NICOLE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
313 S BERKLEY RD # 120, KOKOMO, IN 46901-5114
(765) 236-8750
Mailing address
313 S BERKLEY RD # 120, KOKOMO, IN 46901-5114
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01076473A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4301096127
MI
Other
Enumeration date
05/21/2010
Last updated
06/06/2022
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