MR. KIM CAMPBELL PAC
NPI 1164443610
Physician Assistant - Medical in Tulsa, OK

Active since July 21, 2006
1145 S UTICA AVE STE 460, TULSA, OK 74104(918) 579-5749(918) 579-5762 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2019, Mar 23, 2016 (2 updates tracked since 2016).

About Mr. Kim Campbell Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KIM CAMPBELL PAC (NPI 1164443610) is an individual medical provider in Tulsa, Oklahoma, licensed in Oklahoma (197) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1164443610
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KIM CAMPBELLCredential: PAC
Location Address1145 S UTICA AVE STE 460Tulsa, OK 74104-4041
Mailing Address1145 S Utica Ave, Ste 460Tulsa, OK 74104-4041 · (918) 579-5749 · Fax (918) 579-5762
Fax(918) 579-5762
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateJune 21, 20192 updates tracked since enumeration
NPI 1164443610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OK · 197
1145 S UTICA AVE STE 460, Tulsa, OK 74104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1145 S UTICA AVE STE 460
TULSA, OK 74104
Nurse Practitioner (Family)
1145 S UTICA AVE STE 460
TULSA, OK 74104
Nurse Practitioner (Acute Care)
1145 S UTICA AVE STE 460
TULSA, OK 74104
Hospitalist
1145 S UTICA AVE STE 460
TULSA, OK 74104
Nurse Practitioner (Family)
1145 S UTICA AVE STE 460
TULSA, OK 74104
Internal Medicine
1145 S UTICA AVE STE 460
TULSA, OK 74104
Internal Medicine
1145 S UTICA AVE STE 460
TULSA, OK 74104
Hospitalist
1145 S UTICA AVE STE 460
TULSA, OK 74104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Campbell's NPI number?

The NPI number for Kim Campbell is 1164443610. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Kim Campbell located?

Kim Campbell practices at 1145 S Utica Ave Ste 460, Tulsa, OK 74104. The listed phone number is (918) 579-5749.

What is Kim Campbell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kim Campbell was last updated on June 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.