Individual
KATHRYN BAUK CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
2 WHEELER ST, SAVANNAH, GA 31405-5700
(912) 353-7744
(617) 730-0621
Mailing address
2 WHEELER ST, SAVANNAH, GA 31405-5700
(912) 353-7744
(617) 730-0621
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
20111450
NC
363LP0200X
Pediatric Nurse Practitioner
RN2307499
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN272845
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801174404
NPI
—
Enumeration date
07/30/2011
Last updated
03/07/2023
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