| Kevin Campbell, FNP-BC | |
|
304 Mount Mercy Dr, Pewee Valley, KY 40056-8020 | |
| (502) 241-8611 | |
| (502) 241-4175 |
| Full Name | Kevin Campbell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 304 Mount Mercy Dr, Pewee Valley, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225426299 | NPI | - | NPPES |
| 50083157 | Other | KY | PASSPORT |
| 7100326440 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3009043 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Norton Hospital / Norton Healthcare Pavilion / Nor | Louisville, KY | Hospital |
| Baptist Health La Grange | La grange, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Medical Associates Inc | 7012811284 | 1368 |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306983762 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Campbell, FNP-BC Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | Kevin Campbell, FNP-BC 304 Mount Mercy Dr, Pewee Valley, KY 40056-8020 Ph: (502) 241-8611 |
Kirsten Williams, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 217 La Grange Rd, Pewee Valley, KY 40056 Phone: 502-999-5165 |
Mrs. Denise Ann Burkett, ARNP WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 Ash Ave, Pewee Valley, KY 40056 Phone: 502-241-8454 Fax: 502-241-3067 |