Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 12986 | NE |
NPI | 1033107065 |
---|---|
Provider Name | James Kemper Campbell |
First Address | Lincoln, NE 68510 |
Second Address | Lincoln, NE 68510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 05/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D-92365 | (02) | NE |