Provider Demographics
NPI:1033502810
Name:CAMPBELL, EMILIE CHRISTEAN (CBD, CBE, CBC)
Entity Type:Individual
Prefix:MRS
First Name:EMILIE
Middle Name:CHRISTEAN
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:CBD, CBE, CBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1688 COUNTY ROAD BB
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KS
Mailing Address - Zip Code:67831-3171
Mailing Address - Country:US
Mailing Address - Phone:620-635-0519
Mailing Address - Fax:
Practice Address - Street 1:1688 COUNTY ROAD BB
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KS
Practice Address - Zip Code:67831-3171
Practice Address - Country:US
Practice Address - Phone:620-635-0519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-18
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No174H00000XOther Service ProvidersHealth Educator
No174N00000XOther Service ProvidersLactation Consultant, Non-RN