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:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1386605913 | NPPES |
| Texas | Other | 8Y1926 | BLUE CROSS BLUE SHIELD |
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