Mr. Billy Ray Campbell III
Orthotic Fitter
315 E Broadway Ste 1400
Louisville
, Kentucky 40202-3700
Mr. Billy Ray Campbell III
Orthotic Fitter
315 E Broadway Ste 1400
Louisville
, Kentucky 40202-3700
(502) 593-6119
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mr. Billy Ray Campbell III
- 3401 Imperator Ln Unit 102
- Louisville, KY
- Zip : 40245-7707
- Phone : (502) 593-6119
Second Address
- Mr. Billy Ray Campbell III
- 315 E Broadway Ste 1400
- Louisville, KY
- Zip : 40202-3700
- Fax : (502) 629-5527
- Phone : (502) 629-8640
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | CFO04010 | KY |
National Provider Identifier
| NPI | 1750822771 |
|---|---|
| Provider Name | Mr. Billy Ray Campbell III |
| First Address | Louisville, KY 40245-7707 |
| Second Address | Louisville, KY 40202-3700 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2017 |
| Last Update Date | 09/03/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.