Kenneth Campbell Jr., CSA,SA-C,LSA

Primary specialty

Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X

Practice address

5506-71St
Lubbock, TX 79424

Phone

(806) 798-3380

Fax

(806) 792-9180

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1700899416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5506 71ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241802",
            "telephone_number": "806-798-3380",
            "fax_number": "806-792-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5506-71ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-798-3380",
            "fax_number": "806-792-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KENNETH",
        "name_suffix": "Jr.",
        "credential": "CSA,SA-C,LSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Sarah Campbell
• Cory Campbell, LPC
• Cullen Lee Campbell, L.S.A.
• Drew McIntire Campbell, MD
• Kelly Michelle Campbell, PHYSICAL THERAPIST
• Samuel J. Campbell, M.D.
• Stacy Campbell
• Sydney Campbell
• Melissa A Campos, OTA
• Dennis Benjamin Cano

• Cardiovascular Specialist/Technologist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Cardiovascular Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.