Healthcare Provider Details

I. General information

NPI: 1518408855
Provider Name (Legal Business Name): MS. ANDREA CAMPBELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2017
Last Update Date: 03/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 S HOPPER ST
KENNETT MO
63857-3034
US

IV. Provider business mailing address

206 S HOPPER ST
KENNETT MO
63857-3034
US

V. Phone/Fax

Practice location:
  • Phone: 573-559-5146
  • Fax:
Mailing address:
  • Phone: 573-559-5146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: