| NPI | 1326370438 |
|---|---|
| Former Name | KIMBERLY BROOKE CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110-003169) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-03823) |
| 363A00000X Physician Assistant (Licence: VA 0110003169) | |
| 363A00000X Physician Assistant (Licence: WV 488) | |
| 363AM0700X Physician Assistant, Medical (Licence: VA 0110-002169) | |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2024-02-27 |