| NPI | 1932493657 |
|---|---|
| Former Name | KRISTIE J CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004284A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006931) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2020-12-17 |