Campbell, Kiley A.
Campbell, Kiley A. is an individual health care provider with primary practice located at 8303 Dodge St , Omaha NE 68114. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Campbell, Kiley A. can be contacted via phone (402) 354-2360.Contact Information
Primary practice address
8303 Dodge St
Omaha NE 68114
Phone: (402) 354-2360
Fax: (402) 354-2440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 73680 | Nebraska |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 112532 | Nebraska |
Profile Details
| NPI number | 1447743075 |
|---|---|
| LBN Legal business name | Campbell, Kiley A. |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2018 |
| Last updated | Nov 20th, 2018 - about 8 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 | 1447743075 | NPPES |
| Nebraska | MEDICAID | 47068731716 | |
| Nebraska | MEDICAID | 1447743075 |
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