Individual
DR. CAMPBELL GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 S LIMESTONE STE B200, LEXINGTON, KY 40536-3201
(859) 257-3533
(859) 257-6024
Mailing address
780 ROSE STREET MS 235, LEXINGTON, KY 40536-0298
(859) 323-6679
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
54977
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2014
Last updated
06/22/2022
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