Kayann Nicolette Campbell | Bronx, NY • PECOS Search

Kayann Nicolette Campbell

Registered Nurse

Nursing Service Providers

3454 Fish Ave Apt 3a, Bronx, NY 10469-2277

PECOS Enrollment

Based on the most recent information from CMS, provider Kayann Nicolette Campbell does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1285414714
Provider Type
Individual
Full Name
Campbell, Kayann Nicolette
Credential
RN

Gender
Female
Sole Proprietor
No
Enumeration Date
10/2/2023
Last Updated
10/2/2023

Contact Information

Practice Location

3454 Fish Ave Apt 3a, Bronx, NY 10469-2277

Unlisted Fax

Mailing Location

3454 Fish Ave Apt 3a, Bronx, NY 10469-2277

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 163W00000X Primary	Description Registered Nurse Nursing Service Providers	License 815116 New York