Provider Demographics
NPI:1942374285
Name:CAMPBELL, KRISTEN BOVA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:BOVA
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1204 GOLDENVIEW CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8207
Mailing Address - Country:US
Mailing Address - Phone:919-668-7893
Mailing Address - Fax:
Practice Address - Street 1:DUKE UNIVERSITY HOSPITAL
Practice Address - Street 2:DUMC 3089
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-668-7893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC164181835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy