MRS. KYLIE ELIZABETH CAMPBELL PA-C NPI 1558514281

NPI Information

NPI: 1558514281
Provider Name: MRS. KYLIE ELIZABETH CAMPBELL, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4921 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA
ZIP 95762
Phone: (916) 983-5771
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MRS. Kylie Elizabeth Campbell, PA-C is a medical physician assistant in El Dorado Hills, CA. MRS. Kylie Elizabeth Campbell, PA-C NPI is 1558514281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4921 GOLDEN FOOTHILL PKWY
EL DORADO HILLS, CA
ZIP 95762-632
Phone: (916) 983-5771
Fax: (916) 939-1800

The NPI 1558514281 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2008 and was last updated on 5/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	19985	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	952979638	OTHER	CALIFORNIA	FEDERAL ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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