Organization
INFINITY HEALTHCARE SYSTEMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY CAMPBELL MD (OWNER)
(812) 288-2488
Entity
Organization
Contact information
Practice address
912 DUPONT RD, LOUISVILLE, KY 40207-4602
(502) 297-8555
(502) 297-8551
Mailing address
912 DUPONT RD, LOUISVILLE, KY 40207-4602
(502) 297-8555
(502) 297-8551
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
IN
225100000X
Physical Therapist
—
KY
363LF0000X
Family Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201340090
—
IN
05
—
7100392710
—
KY
05
—
7100399040
—
KY
Enumeration date
06/04/2015
Last updated
07/19/2016
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