Healthcare Provider Details

I. General information

NPI: 1972797769
Provider Name (Legal Business Name): J KEMPER CAMPBELL M D PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2007
Last Update Date: 07/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7121 A ST SUITE #200
LINCOLN NE
68510-4289
US

IV. Provider business mailing address

7121 A ST SUITE #200
LINCOLN NE
68510-4289
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 Number
License Number State

VIII. Authorized Official

Name: DR. J KEMPER CAMPBELL
Title or Position: OWNER
Credential: M.D.
Phone: 402-489-2020