Kevin Bryce Campos | Fayetteville, AR • PECOS Search

Kevin Bryce Campos

Chiropractor

Chiropractic Providers

4170 W Martin Luther King Jr Blvd Ste 506, Fayetteville, AR 72704-7702

PECOS Enrollment

Based on the most recent information from CMS, provider Kevin Bryce Campos 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 2 days ago.

Profile Details

Provider ID
1477301562
Provider Type
Individual
Full Name
Campos, Kevin Bryce
Title
Dr.
Credential
DC

Gender
Male
Sole Proprietor
No
Enumeration Date
5/13/2024
Last Updated
5/13/2024

Contact Information

Practice Location

4170 W Martin Luther King Jr Blvd Ste 506, Fayetteville, AR 72704-7702

Unlisted Fax

Mailing Location

4170 W Martin Luther King Jr Blvd Ste 506, Fayetteville, AR 72704-7702

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 12397 Arkansas