Healthcare Provider Details

I. General information

NPI: 1700708443
Provider Name (Legal Business Name): COLIN K CAMPBELL DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 CARONDELET DR
KANSAS CITY MO
64114-4673
US

IV. Provider business mailing address

7736 TOMAHAWK RD
PRAIRIE VILLAGE KS
66208-4654
US

V. Phone/Fax

Practice location:
  • Phone: 816-943-4545
  • Fax: 816-943-4526
Mailing address:
  • Phone: 816-943-4545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number2016030545
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: