# KATELYN MARGARET CAMPBELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043849482
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 336250 | NY | Yes |
| 208000000X | Pediatrics Physician | 036164031 | IL | — |
| 208000000X | Pediatrics Physician | 125077088 | IL | — |
| 208000000X | Pediatrics Physician | 336250 | NY | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 04/07/2020
- **Last updated:** 06/30/2025