KEVIN CAMPBELL (NPI# 1205235629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205235629 |
| Entity Type | Individual |
| Full Name | KEVIN CAMPBELL |
| Credential | PTA |
| Practice Address |
474 S Landmark Ave Bloomington IN 47403-5000 |
| Mailing Address |
3524 S Wickens St Bloomington IN 47403-4514 |
| Practice Telephone | 8127273651 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | 06003728A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36001279A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3524 S Wickens St, Bloomington, IN 474034514 | 3179185767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356818314 | Kevin W Campbell | Dentist | Norfolk Naval Shipyard Bld 277, Portsmouth, VA 23709 | 2018-10-29 |
| 1164731956 | Kevin James Campbell | Massage Therapist | 220 3rd Ave Ste 408, Havre, MT 59501-3554 | 2010-09-28 |
| 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 |
474 S LANDMARK AVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720569544 | Kenney Orthopedics of Bloomington, LLC | Prosthetic/Orthotic Supplier | 474 S Landmark Ave, Bloomington, IN 47403 | 2018-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110967 | Erica Zemites | Specialist/Technologist | 20 Brickyard Dr Apt A18, Bloomington, IL 61701-7085 | 2020-03-26 |
| 1083257547 | Ava Korinke | Specialist/Technologist | 701 E 17th St, Bloomington, IN 47408-1578 | 2019-10-28 |
| 1760025308 | Kyle Robert Barr | Specialist/Technologist | 1428 S Washington St, Bloomington, IN 47401-5878 | 2019-10-28 |
| 1497398028 | James Aaron Dash | Specialist/Technologist | 1419 W Allen St, Bloomington, IN 47403-2930 | 2019-10-27 |
| 1225671852 | Sierra Johnson | Specialist/Technologist | 2036 N Walnut St Apt 7, Bloomington, IN 47404-2465 | 2019-10-27 |
| 1285284158 | Keisuke Kawata | Specialist/Technologist | 1025 E 7th St # C215, Bloomington, IN 47405-7109 | 2019-09-12 |
| 1205485877 | Susan Marie Bitney | Specialist/Technologist | 10217 Scarborough Rd, Bloomington, MN 55437-2516 | 2019-09-06 |
| 1912566092 | Matthew Wayne Adams | Specialist/Technologist | 2301 E Arden Dr, Bloomington, IN 47401-6890 | 2019-06-11 |
| 1356806384 | Tori J Eastes | Specialist/Technologist | 1150 S Clarizz Blvd, Bloomington, IN 47401-4270 | 2019-02-04 |
| 1689139602 | Hallie Mccarn | Specialist/Technologist | 503 S Muller Pkwy Apt 303, Bloomington, IN 47403-1635 | 2019-02-04 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
Please comment or provide details below to improve the information on KEVIN CAMPBELL.
| 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.