Provider Demographics
NPI:1861935819
Name:CAMPBELL, MARKEE
Entity type:Individual
Prefix:
First Name:MARKEE
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5212 E ST SE
Mailing Address - Street 2:APT 26
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-6070
Mailing Address - Country:US
Mailing Address - Phone:202-497-4266
Mailing Address - Fax:
Practice Address - Street 1:5212 E ST SE
Practice Address - Street 2:APT 26
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-6070
Practice Address - Country:US
Practice Address - Phone:202-497-4266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-23
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide