Provider Demographics
NPI:1851881171
Name:CAMPLEN, KATHRYN ECK (WHNP/CNM)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ECK
Last Name:CAMPLEN
Suffix:
Gender:F
Credentials:WHNP/CNM
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:JEAN
Other - Last Name:ECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 FM 3351 S STE 135
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-5730
Mailing Address - Country:US
Mailing Address - Phone:210-876-3646
Mailing Address - Fax:210-945-2221
Practice Address - Street 1:1 FM 3351 S STE 135
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-5730
Practice Address - Country:US
Practice Address - Phone:210-876-3646
Practice Address - Fax:210-945-2221
Is Sole Proprietor?:No
Enumeration Date:2018-05-11
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136071367A00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife