Campbell, Kristy Lynne
Campbell, Kristy Lynne is an individual health care provider with primary practice located at 17 Davis Blvd Ste 200 , Tampa FL 33606-3438. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Campbell, Kristy Lynne can be contacted via phone (813) 259-8760.Contact Information
Primary practice address
17 Davis Blvd Ste 200
Tampa FL 33606-3438
Phone: (813) 259-8760
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | ARNP9276766 | Florida |
Profile Details
| NPI number | 1760856314 |
|---|---|
| LBN Legal business name | Campbell, Kristy Lynne |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 19th, 2015 |
| Last updated | Oct 30th, 2020 - about 6 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 | 1760856314 | NPPES |
| Florida | MEDICAID | 016236200 | |
| Florida | Other | C76HM |
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