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NPI Code Detail

MEDICARE: KIMBERLY A CAMPOS

MEDICARE: KIMBERLY A CAMPOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154841369
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY A CAMPOS
Provider Business Mailing Address
First Line : 102 ELIZABETH ST STE C
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-5679
Country : US
Telephone Number : 910-333-0814
Fax Number :
Provider Business Practice Location Address
First Line : 102 ELIZABETH ST STE C
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-5679
Country : US
Telephone Number : 910-333-0814
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2017
Last Update Date : 07/21/2022

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Directions to “ KIMBERLY A CAMPOS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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