Kathleen M Campbell, DOM

Individual provider Active NPI Acupuncturist · Silver City, NM

NPI 1407914047 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1407914047
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
168 (NM)
Practice address
1401 N Louisiana St
Silver City, NM 88061-4246
Phone
(505) 388-1824
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
168NMMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 168 NM Yes

Addresses

Primary practice location

1401 N Louisiana St
Silver City, NM 88061-4246

Mailing address

1401 N Louisiana St
Silver City, NM 88061-4246
Phone (505) 388-1824

Other identifiers

IdentifierTypeStateIssuer
NM00RE90OtherNMBLUE CROSS BLUE SHIELD

Other providers in Silver City, NM

All providers in Silver City, NM · Acupuncturist in New Mexico

Sources for this page

Verify at the official NPI Registry.