Campbell, Victoria Lynn

Campbell, Victoria Lynn is an sole proprietor health care provider with primary practice located at 117 Coventry Ln , Canton MS 39046-6610. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Campbell, Victoria Lynn can be contacted via phone (662) 212-2219.

Contact Information

Primary practice address
117 Coventry Ln Canton MS 39046-6610
Phone: (662) 212-2219
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X DT82188 Texas
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X D1688 Mississippi

Profile Details

NPI number 1699036178
LBN Legal business name Campbell, Victoria Lynn
Credentials RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2012
Last updated Aug 5th, 2021 - about 5 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 1699036178 NPPES
Texas MEDICAID 149984001
Texas MEDICAID 207164901

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