Campbell, Kelly
Campbell, Kelly is an sole proprietor health care provider with primary practice located at 1616 Richmond Dr Ne Montezuma Es, Albuquerque NM 87106-1832. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Campbell, Kelly can be contacted via phone (505) 256-0470.Contact Information
Primary practice address
1616 Richmond Dr Ne Montezuma Es
Albuquerque NM 87106-1832
Phone: (505) 256-0470
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M 6058 | New Mexico |
| Behavioral Health & Social Service Providers / School | 1041S0200X | M 06058 | New Mexico |
Profile Details
| NPI number | 1710015847 |
|---|---|
| LBN Legal business name | Campbell, Kelly |
| Credentials | SW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710015847 | NPPES |
| New Mexico | MEDICAID | 67575757 |
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