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Individual
DR. KELLY CAMPBELL
Active
Individual
DR. KELLY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Q9792
TX
207R00000X
Internal Medicine Physician
Primary
583150
TX
Other
Enumeration date
12/15/2015
Last updated
11/18/2016
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