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NPI Code Detail

MEDICARE: KIMBERLY ANNE CAMPBELL

MEDICARE: KIMBERLY ANNE CAMPBELL
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1326352618
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANNE CAMPBELL
Provider Business Mailing Address
First Line : 1951 CALEB AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13206-2560
Country : US
Telephone Number : 315-218-7444
Fax Number : 315-218-7466
Provider Business Practice Location Address
First Line : 1951 CALEB AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13206-2560
Country : US
Telephone Number : 315-218-7444
Fax Number : 315-218-7466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2010
Last Update Date : 07/29/2010

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Directions to “ KIMBERLY ANNE CAMPBELL ” Practice Location

Language Start Address Practice Location
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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