THERESE J CAMPBELL P.A. - NPI 1205823663 - Physician Assistant in Ottawa, KS

Q: What is Therese Campbell's NPI number?

The NPI number for Therese Campbell is 1205823663. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Q: What is Therese Campbell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Therese Campbell was last updated on August 15, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Therese J Campbell P.a. NPPES

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

THERESE J CAMPBELL P.A. (NPI 1205823663) is an individual medical provider in Ottawa, Kansas, licensed in Kansas (15-00718) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1205823663

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameTHERESE J CAMPBELLCredential: P.A.

Location Address1301 S MAIN STOttawa, KS 66067-3537

Mailing Address1301 S Main StOttawa, KS 66067-3537 · (785) 229-8200 · Fax (785) 229-8419

Phone(785) 229-8200

Fax(785) 229-8419

Sole ProprietorNo

Enumeration DateSeptember 30, 2005

Last NPPES UpdateAugust 15, 2011

✔ NPI 1205823663 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 KS · 15-00718

1301 S MAIN ST, Ottawa, KS 66067

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Other Identifiers 1

Medicare UPINP16389KS

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.

MRS. NANCY ANN FALKNER M.A., P.T.

Physical Therapist