Provider Demographics
NPI:1962849406
Name:ROBINSON CAMPBELL, KANEISHA ANN
Entity Type:Individual
Prefix:MRS
First Name:KANEISHA
Middle Name:ANN
Last Name:ROBINSON CAMPBELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12043 PAUL EELLS DR
Mailing Address - Street 2:APT 101
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72113-7338
Mailing Address - Country:US
Mailing Address - Phone:501-859-7337
Mailing Address - Fax:
Practice Address - Street 1:2615 N PRICKETT RD
Practice Address - Street 2:SUITE 10
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-7523
Practice Address - Country:US
Practice Address - Phone:501-847-7337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist