MR. Kevin Scott Campbell SR.

NPI #1992849780 in Bogalusa, Louisiana

Provider Information

NPI Number: 1992849780
Entity Type: Individual
Name: MR. Kevin Scott Campbell SR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prosthetist
Enumeration Date: Feb 16, 2007
Last Updated: Jan 16, 2008

Practice Location

Address: 722 LOUISIANA AVE
City: Bogalusa
State: Louisiana
ZIP Code: 70427
Phone: (985) 730-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetist	224P00000X	Primary
Orthotic Fitter	225000000X
Durable Medical Equipment & Medical Supplies	332B00000X

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