| Campbell Chiropractic L.l.c. | |
|
15495 N 247 Rd, Okmulgee, OK 74447-7969 | |
| (918) 733-1351 | |
| (918) 733-1353 |
| Full Name | Campbell Chiropractic L.l.c. |
|---|---|
| Type | Facility |
| Speciality | Nurse Practitioner - Family |
| Location | 15495 N 247 Rd, Okmulgee, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265608582 | NPI | - | NPPES |
| 1467860585 | Other | OK | INDIVIDUAL NPI |
| 1700961778 | Other | OK | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3562 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Matthew J Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306857123 PECOS PAC ID: 5597664136 Enrollment ID: I20070323000436 |
| Provider Name | Justin Dale Campbell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700961778 PECOS PAC ID: 8729243571 Enrollment ID: I20120629000451 |
| Provider Name | Kristie Mae Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467860585 PECOS PAC ID: 3375865728 Enrollment ID: I20150217000805 |
| Provider Name | Jennifer C Patchin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568866416 PECOS PAC ID: 5597083683 Enrollment ID: I20150422000672 |
| Provider Name | Amy Lynn Hurlburt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598921199 PECOS PAC ID: 4789741646 Enrollment ID: I20150817000429 |
| Provider Name | Shawn Lynn Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235605726 PECOS PAC ID: 9830434315 Enrollment ID: I20190103000889 |
| Provider Name | Megan Marie Milroy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306460993 PECOS PAC ID: 8325469943 Enrollment ID: I20200605000847 |
| Provider Name | Paula Dee Moorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336772169 PECOS PAC ID: 6608292180 Enrollment ID: I20200813003601 |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell Chiropractic L.l.c. 15495 N 247 Rd, Okmulgee, OK 74447-7969 Ph: (918) 733-1351 | Campbell Chiropractic L.l.c. 15495 N 247 Rd, Okmulgee, OK 74447-7969 Ph: (918) 733-1351 |