| NPI | 1003000803 |
|---|---|
| Other Name | CAMPBELL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JENNIFER DALTON GIBSON Office Manager 270-629-3772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 33935) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: KY 34221) |
| 363L00000X Nurse Practitioner (Licence: KY 4716P) | |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-12-05 |