Organization
CAMPBELL CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JON CAMPBELL DC (OWNER)
(605) 232-3833
Entity
Organization
Contact information
Practice address
118 GATEWAY DR, N. SIOUX CITY, SD 57049
(605) 232-3833
(605) 232-5255
Mailing address
PO BOX 1427, N SIOUX CITY, SD 57049-1427
(605) 232-3833
(605) 232-5255
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
838
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004421
BLUE CROSS BLUE SHIELD
SD
05
—
10025410600
—
NE
05
—
2916775
—
IA
05
—
7604055
—
SD
Enumeration date
04/03/2007
Last updated
08/22/2020
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