Individual
DR. JAN L CAMPBELL
Active
Individual
DR. JAN L CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-26766
KS
2084P0800X
Psychiatry Physician
21528
IA
2084P0802X
Addiction Psychiatry Physician
R5H10
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100424720A
—
KS
05
—
205918303
—
MO
Enumeration date
07/20/2006
Last updated
06/28/2011
Update your record
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