Campbell, Kelly L

Campbell, Kelly L is an individual health care provider with primary practice located at 8230 Walnut Hill Ln Ste 208 , Dallas TX 75231-4409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Campbell, Kelly L can be contacted via phone (214) 692-6135.

Contact Information

Primary practice address
8230 Walnut Hill Ln Ste 208 Dallas TX 75231-4409
Phone: (214) 692-6135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA01197 Texas

Profile Details

NPI number 1386605913
LBN Legal business name Campbell, Kelly L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Oct 11th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386605913 NPPES
Texas Other 8Y1926 BLUE CROSS BLUE SHIELD

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