Provider Demographics
NPI:1225200322
Name:CAMPBELL, PATRICK KENT (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:KENT
Last Name:CAMPBELL
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Gender:M
Credentials:MD, PHD
Other - Prefix:
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Mailing Address - Street 1:262 DANNY THOMAS PL # MS 515
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-3678
Mailing Address - Country:US
Mailing Address - Phone:901-595-6055
Mailing Address - Fax:901-521-9005
Practice Address - Street 1:262 DANNY THOMAS PL
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105
Practice Address - Country:US
Practice Address - Phone:901-495-3026
Practice Address - Fax:901-521-9005
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN419362080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology