MRS. KYLIE ELIZABETH CAMPBELL


Address: 4921 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9632
Phone: 9169835771

MRS. KYLIE ELIZABETH CAMPBELL (NPI# 1558514281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558514281
Entity Type Individual
Full Name MRS. KYLIE ELIZABETH CAMPBELL
Other Name MS. KYLIE ELIZABETH NUCKOLS
Credential PA-C
Practice Address 4921 Golden Foothill Pkwy
El Dorado Hills
CA 95762-9632
Mailing Address Po Box 5156
El Dorado Hills
CA 95762-0003
Practice Telephone 9169835771
Practice Fax Number 9169391800
Mailing Telephone 5304009674
Mailing Fax Number 9169391800
Enumeration Date 2008-10-26
Last Update Date 2020-05-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
19985 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA FEDERAL ID NUMBER 952979638 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1831 Orange Avenue, Suite C, Costa Mesa, CA 92627 9495745800 9496122725

Other Providers KYLIE CAMPBELL

NPI Name Taxonomy Address Enumeration
1144831686 Kylie Campbell Specialist/Technologist, Other 1411 S Creasy Ln Ste 120, Lafayette, IN 47905-7433 2020-08-10
1447685854 Kylie Marie Campbell Physical Therapist 5100 Franklin Ave, Waco, TX 76710-6922 2013-09-05

Office Location

Street Address 4921 GOLDEN FOOTHILL PKWY
City EL DORADO HILLS
State CA
Zip Code 95762-9632

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225469380 Jessica Sawyer Physician Assistant 3919 Park Dr, #80, El Dorado Hills, CA 95762-4562 2013-11-27
1912324468 Melanie Ariana Rincon Physician Assistant 5137 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9670 2014-03-22
1942575675 Lisa Michelle Melody Physician Assistant 4987 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9364 2012-03-13
1366719080 Stefanie Nanette Winder Physician Assistant 4987 Golden Foothill Pkwy, Suite 200, El Dorado Hills, CA 95762-9364 2011-11-23

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NPI Name Taxonomy Address Enumeration
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1548867666 Heba Marzouk Al-shoubaki Physician Assistant 633 S Pepper St, Anaheim, CA 92802-1459 2020-10-01
1275140550 Lisa Lynn Passalacqua Physician Assistant 431 7th St, Norco, CA 92860-1671 2020-09-30
1144833989 Trisha Taylor Physician Assistant 10399 Tivoli Way, Yucaipa, CA 92399-6017 2020-08-30
1457963944 Harlan William Monahan Physician Assistant 5210 Del Rio Rd, Sacramento, CA 95822-2519 2020-08-18
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Competitor

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City EL DORADO HILLS
Zip Code 95762

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Dataset Information

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.

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