Provider Demographics
NPI:1033170378
Name:CAMPBELL, WILLIAM H (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067-3528
Mailing Address - Country:US
Mailing Address - Phone:785-242-4242
Mailing Address - Fax:785-242-7885
Practice Address - Street 1:1401 S MAIN ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:KS
Practice Address - Zip Code:66067-3528
Practice Address - Country:US
Practice Address - Phone:785-242-4242
Practice Address - Fax:785-242-7885
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-13504207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B68656OtherHUMANA
461233OtherCHILDREN'S MERCY
33843015OtherPHP
P00152754OtherRAILROAD MEDICARE
33843015OtherBCBS-KANSAS CITY
3562421OtherAETNA
KS103708OtherBCBS-KS
B68656OtherHUMANA
B68656Medicare UPIN
KS103708Medicare PIN