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Molly Kate Campbell

Physician Assistant in Cookeville, TN. Individual provider (NPI-1).

NPI number1164056495
StatusActive
Last updated in NPPESAug 7, 2020

Details

NPI
1164056495
Entity type
Individual (NPI-1)
Name
Molly Kate Campbell
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 25, 2020
Certification date
Aug 7, 2020
Last updated
Aug 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

406 N Whitney Ave Ste 5
Cookeville, TN 38501-4243

Phone 931-783-4269

Mailing address

127 N Oak Ave Ste D
Cookeville, TN 38501-2435

Phone 931-783-5582

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