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Individual

DENNIS B CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3830 HIGHWAY 15 S, JACKSON, KY 41339-8675
(606) 668-7420
(606) 668-7404
Mailing address
PO BOX 2, ROGERS, KY 41365-0002
(606) 668-9915
(606) 668-3016

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26320
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000225374
ANTHEM BCBS
01
10979
CHA
01
11676152
CAQH
01
279406
MANAGED HEALTH
05
30610026
KY
Enumeration date
07/31/2006
Last updated
09/18/2019
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