Campbell, John K

Campbell, John K is an individual health care provider with primary practice located at 162 Legacy Oaks Dr Suite 102, Knightdale NC 27545-6556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Campbell, John K can be contacted via phone (919) 373-1810.

Contact Information

Primary practice address
162 Legacy Oaks Dr Suite 102 Knightdale NC 27545-6556
Fax: (919) 373-1890
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME63053 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2010-01797 North Carolina

Profile Details

NPI number 1740279033
LBN Legal business name Campbell, John K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated May 8th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740279033 NPPES
North Carolina MEDICAID 5916307
North Carolina MEDICAID 375803600
North Carolina Other 080116174

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