Campbell, Kelly Renee

Campbell, Kelly Renee is an individual health care provider with primary practice located at 7901 S 12Th St Suite #200, Portage MI 49024-3831. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Campbell, Kelly Renee can be contacted via phone (269) 372-7200.

Contact Information

Primary practice address
7901 S 12Th St Suite #200 Portage MI 49024-3831
Phone: (269) 372-7200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5201007870 Michigan

Profile Details

NPI number 1639464894
LBN Legal business name Campbell, Kelly Renee
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2011
Last updated Jun 16th, 2011 - about 14 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 1639464894 NPPES
Minnesota Other 5201007870 LICENSE

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