MR. KEVIN JAMES CAMPBELL (NPI# 1164731956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164731956 |
| Entity Type | Individual |
| Full Name | MR. KEVIN JAMES CAMPBELL |
| Credential | LMT, BCTMB |
| Practice Address |
220 3rd Ave Ste 408 Havre MT 59501-3554 |
| Mailing Address |
Po Box 1064 Havre MT 59501-1064 |
| Practice Telephone | 4062655301 |
| Practice Fax Number | 4062655301 |
| Mailing Telephone | 4062655301 |
| Mailing Fax Number | 4062655301 |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 3 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWOR | 538979-07 | 01 |
| MT | STATE OF MONTANA DEPARTMENT OF LABOR AND INDUSTRY BOARD OF MASSA | LMTLMTLIC-3 | 01 |
| MT | FEDERAL TAX I.D. NUMBER | 81-0542478 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356818314 | Kevin W Campbell | Dentist | Norfolk Naval Shipyard Bld 277, Portsmouth, VA 23709 | 2018-10-29 |
| 1205235629 | Kevin Campbell | Physical Therapy Assistant | 474 S Landmark Ave, Bloomington, IN 47403-5000 | 2014-08-21 |
| 1346373651 | Kevin Thomas Campbell | Dentist | 6910 N Main St Unit 58, Granger, IN 46530-8412 | 2007-03-14 |
| 1992849780 | Kevin Scott Campbell Sr. | Prosthetist | 722 Louisiana Ave, Bogalusa, LA 70427 | 2007-02-16 |
| 1497833834 | Kevin S Campbell | Family Medicine | 200 Fort Sanders West Blvd Ste 304, Knoxville, TN 37922-3360 | 2006-11-02 |
| 1700820776 | Kevin G Campbell | Urology | 925 Deis Dr, Fairfield, OH 45014-8130 | 2006-06-16 |
| 1740281476 | Kevin Jon Campbell | Chiropractor | 118 Gateway Dr., North Sioux City, SD 57049-1427 | 2005-08-03 |
| 1376173567 | Kevin Campbell | Pharmacist | 6901 Preston Rd, Dallas, TX 75205-1186 | 2020-01-16 |
| 1104486745 | Kevin G Campbell | Behavior Technician | 625 The City Dr S Ste 120, Orange, CA 92868-3352 | 2019-06-17 |
| 1124484985 | Kevin Campbell | Physician Assistant | 3120 Carpenter St, Hamtramck, MI 48212-9802 | 2016-01-11 |
| Street Address |
220 3RD AVE STE 408 |
| City | HAVRE |
| State | MT |
| Zip Code | 59501-3554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718184 | Health Services Montana LLC | Hearing Instrument Specialist | Holiday Village Mall 1753 Hwy 2 Nw, Ste 45, Havre, MT 59501 | 2020-10-20 |
| 1487140398 | Matthew Pett | Registered Nurse | Northern Montana Hospital, 30 13th St, Havre, MT 59501 | 2018-07-03 |
| 1528586146 | Michaela Sarah Whitmore | Physician Assistant | 521 4th Street, Bullhook Community Health Center, Havre, MT 59501 | 2017-09-04 |
| 1902324635 | Abrianna Lee Johnson | Nurse Practitioner | 30 13th Street, P.o. Box 1231, Havre, MT 59501 | 2017-09-01 |
| 1326584608 | Darlene Jo Sellers | Counselor | 642 North 6th Street, Havre, MT 59501 | 2017-01-11 |
| 1205245230 | Donald Harper | Pharmacist | 3510 Highway 2 West, Havre, MT 59501 | 2014-08-04 |
| 1912287152 | Tanya Mccullough | Registered Nurse | 20 13 St West, Havre, MT 59501 | 2011-08-19 |
| 1093952095 | Larry Wayne Fangsrud | Pharmacist | 3180 Hwy 2 W, Kmart Pharmacy, Havre, MT 59501 | 2009-01-13 |
| 1710124706 | Cindy Lee Brandon | Pharmacist | 3180 Hwy 2 West, Havre, MT 59501 | 2009-01-13 |
| 1437287406 | Janet M Trethewey | Specialist/Technologist | 300 W 11 St, Msu-northern, Havre, MT 59501 | 2007-03-01 |
| Find all providers in zip 59501 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083924815 | Statelen Therapy, Inc | Massage Therapist | 621 1st St W, Havre, MT 59501-3582 | 2010-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548217 | Sarah Elena Barrios | Massage Therapist | 101 Paisley Ct Apt A, Bozeman, MT 59715-7327 | 2020-11-05 |
| 1457950214 | Tyree Leigh Dutton | Massage Therapist | 639 Helena Ave Ste B, Helena, MT 59601-3607 | 2020-10-22 |
| 1922606565 | Abigail Yarus | Massage Therapist | 204 Dewey Ave, Eureka, MT 59917-9046 | 2020-10-15 |
| 1366058448 | Kristina M Williams | Massage Therapist | 101 E Center St Ste 203, Kalispell, MT 59901-4079 | 2020-09-23 |
| 1821604042 | Amanda Rose Knorr | Massage Therapist | 900 N Montana Ave Unit B1c, Helena, MT 59601-3845 | 2020-09-22 |
| 1790398725 | Wendra Ann Wendt | Massage Therapist | 1608 Ogden St, Anaconda, MT 59711 | 2020-08-28 |
| 1982216834 | Rosemary A Stoudt | Massage Therapist | 415 N Higgins Ave Ste 128, Missoula, MT 59802-4563 | 2020-08-21 |
| 1447861703 | Kelli Facundus Black | Massage Therapist | 195 Boyer St, Plains, MT 59859-5985 | 2020-08-11 |
| 1295344570 | Jodi Alexander | Massage Therapist | 670 King Park Dr Ste 8, Billings, MT 59102-6257 | 2020-07-23 |
| 1881211498 | Jessica Elaine Powers | Massage Therapist | 228 Senator St, 228 Senator St. Ekalaka, Ekalaka, MT 59324 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.