Healthcare Provider Details

I. General information

NPI: 1851238372
Provider Name (Legal Business Name): KATIE CAMPBELL DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 BIG HILL AVE
RICHMOND KY
40475-2011
US

IV. Provider business mailing address

301 BIG HILL AVE
RICHMOND KY
40475-2011
US

V. Phone/Fax

Practice location:
  • Phone: 859-353-8603
  • Fax: 859-353-8605
Mailing address:
  • Phone: 859-353-8603
  • Fax: 859-353-8605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number308217
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: