Campbell, Kelley Renee
Campbell, Kelley Renee is an individual health care provider with primary practice located at 1 Memorial Dr , Alton IL 62002-6722. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Campbell, Kelley Renee can be contacted via phone (618) 463-7474.Contact Information
Primary practice address
1 Memorial Dr
Alton IL 62002-6722
Phone: (618) 463-7474
Fax: (618) 463-7543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209009568 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209009568 | Illinois |
Profile Details
| NPI number | 1245590074 |
|---|---|
| LBN Legal business name | Campbell, Kelley Renee |
| Credentials | RN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2012 |
| Last updated | Feb 20th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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