Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kenroy L Campbell, PA-C

Individual provider Surgical Physician Assistant · NPI 1770805772

Mr. Kenroy L Campbell, PA-C is a Surgical Physician Assistant in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1 Brookdale Plz
Brooklyn, NY 11212-3139
Phone: (718) 240-5000
Fax: (718) 240-6583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 011789 (NY)

Record details

NPI number1770805772
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 18, 2010
Last updated in NPPESFebruary 18, 2010

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