NPI | 1972523223 |
---|---|
Other Name | KENDALL MARVIN CAMPBELL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T9359) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX 47524) |
207Q00000X Family Medicine (Licence: FL ME86295) | |
207Q00000X Family Medicine (Licence: NC 2016-02575) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2023-02-28 |