Provider Demographics
NPI:1962758441
Name:CAMPBELL, KATHRYN LUTTRELL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:LUTTRELL
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:KATHRYN
Other - Middle Name:ANN
Other - Last Name:LUTTRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PARMD
Mailing Address - Street 1:6815 CANTRELL ROAD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-4134
Mailing Address - Country:US
Mailing Address - Phone:501-664-4444
Mailing Address - Fax:501-664-7098
Practice Address - Street 1:6815 CANTRELL ROAD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-4134
Practice Address - Country:US
Practice Address - Phone:501-664-4444
Practice Address - Fax:501-664-7098
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD11923183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist