Provider Demographics
NPI:1194220657
Name:CAMPBELL, JOHN PATTERSON (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PATTERSON
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:901 E 104TH ST
Mailing Address - Street 2:MAILSTOP 400S
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131
Mailing Address - Country:US
Mailing Address - Phone:816-932-2700
Mailing Address - Fax:
Practice Address - Street 1:5844 NW BARRY RD STE 270
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154-1466
Practice Address - Country:US
Practice Address - Phone:913-491-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0447609207RG0100X
MO2020015503207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology