National Provider Identifier Database

KEVIN S CAMPBELL SR
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

KEVIN S CAMPBELL SR
722 LOUISIANA AVE
BOGALUSA, LA70427
Phone: 985-730-4357
Fax: 985-730-5267
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Orthotics/Prosthetics Fitter 225000000X

* Indicates primary specialty

NPI Profile & details for KEVIN S CAMPBELL SR

NPI Number 1992849780
Credentials
Entity Individual
Enumeration date 02/16/2007
Last updated 01/16/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • LA Medicaid: 1561312
  • MS Medicaid: 00440994
  • LA Other: 7214531530 BLUE CROSS BLUE SHIELD
  • MS Other: 7214531530 BLUE CROSS BLUE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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