Healthcare Provider Details

I. General information

NPI: 1033107065
Provider Name (Legal Business Name): JAMES KEMPER CAMPBELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 08/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7121 A ST SUITE 200
LINCOLN NE
68510
US

IV. Provider business mailing address

7121 A ST. SUITE 200
LINCOLN NE
68510
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-2020
  • Fax: 402-489-2120
Mailing address:
  • Phone: 402-489-2020
  • Fax: 402-489-2120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number12986
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: