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Individual
KELLY MARIE CAMPBELL
Active
Individual
KELLY MARIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9267220
FL
363L00000X
Nurse Practitioner
Primary
11027380
FL
Other
Enumeration date
05/03/2023
Last updated
08/01/2023
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