Whalio Doctors

NPI 1003000803

Campbell Medical Group, MD, Psc

Organisation Family Medicine Physician Glasgow, KY

Practice location

Address
303 Professional Park Dr, Glasgow, KY 42141-3487
Phone
(270) 629-3772
Fax
(270) 629-3774

Authorised official

Name
Jennifer Dalton Gibson
Title
Office Manager
Phone
(270) 629-3772

Registered specialties (3)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 33935 (KY)
Adolescent Medicine (Internal Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207RA0000X Licence 34221 (KY)
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 4716P (KY)

Registry record

NPI
1003000803
Entity type
Organization
NPI issued
5 Sep 2007
Record last updated
5 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.