Campbell Medical Group, MD, Psc
Family Medicine in Glasgow, KY. Organization (NPI-2).
NPI number1003000803
StatusActive
Last updated in NPPESDec 5, 2007
Details
- NPI
- 1003000803
- Entity type
- Organization (NPI-2)
- Legal business name
- Campbell Medical Group, MD, Psc
- Organization subpart
- No
- Enumeration date
- Sep 5, 2007
- Last updated
- Dec 5, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 33935 | KY | Yes |
| 207RA0000X | Internal Medicine, Adolescent Medicine | 34221 | KY | |
| 363L00000X | Nurse Practitioner | 4716P | KY |
Other names
- Campbell Medical Group (Other Name)
Practice location
303 Professional Park DrGlasgow, KY 42141-3487
Phone 270-629-3772 · Fax 270-629-3774
Mailing address
303 Professional Park DrGlasgow, KY 42141-3487
Phone 270-629-3772 · Fax 270-629-3774
Authorized official
Jennifer Dalton Gibson
Office Manager
2706293772
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