Provider Demographics
NPI:1215180476
Name:CAMPBELL, ROBERT ACREE II (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ACREE
Last Name:CAMPBELL
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ROBERT
Other - Middle Name:ACREE
Other - Last Name:CAMPBELL
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:401 E CHESTNUT ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-5700
Mailing Address - Country:US
Mailing Address - Phone:502-813-6660
Mailing Address - Fax:502-588-4427
Practice Address - Street 1:401 E CHESTNUT ST
Practice Address - Street 2:SUITE 610
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-5700
Practice Address - Country:US
Practice Address - Phone:502-813-6600
Practice Address - Fax:502-588-9539
Is Sole Proprietor?:No
Enumeration Date:2008-10-31
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY298382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64298383Medicaid
IN100359270Medicaid
KY0502706Medicare UPIN
IN100359270Medicaid
IN245170DMedicare UPIN