Individual
KIMBERLY THAXTON CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2601 LAKE DR, SUITE 201, RALEIGH, NC 27607-6688
(919) 783-4888
(919) 783-4887
Mailing address
2601 LAKE DR, SUITE 201, RALEIGH, NC 27607-6688
(919) 783-4888
(919) 783-4887
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103031
NC
Other
Enumeration date
01/17/2007
Last updated
09/11/2010
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