Individual provider · Type 1 NPI

Billy Ray Campbell Iii, CPED, CFO

Orthotic Fitter · Louisville, KY

NPI number 1750822771 Active

Practice location

315 E Broadway Ste 1400
Louisville, KY 40202-3700

Fax (502) 629-5527

Mailing address

3401 Imperator Ln Unit 102
Louisville, KY 40245-7707

Specialties and licenses

TaxonomyCodeLicense
Pedorthist 224L00000XCPED3595 (KY)
Orthotic Fitter Primary 225000000XCFO04010 (KY)

Orthotic Fitter: An individual trained in the management of fitting prefabricated orthoses.

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About NPI 1750822771

Billy Ray Campbell Iii, CPED, CFO's National Provider Identifier is 1750822771, issued on Mar 9, 2017. The primary taxonomy on file is Orthotic Fitter (225000000X), and the practice location is in Louisville, KY. The record was last updated on Mar 9, 2017.