Campbell, Jacqueline M
Campbell, Jacqueline M is an individual health care provider with primary practice located at 1701 Alexandria Dr , Lexington KY 40504-3149. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Campbell, Jacqueline M can be contacted via phone (859) 277-3490.Contact Information
Primary practice address
1701 Alexandria Dr
Lexington KY 40504-3149
Phone: (859) 277-3490
Fax: (859) 278-5014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 17047 | Kentucky |
Profile Details
| NPI number | 1366448938 |
|---|---|
| LBN Legal business name | Campbell, Jacqueline M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366448938 | NPPES |
| Kentucky | MEDICAID | 64170475 |
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