Individual
KATELYN MARGARET CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9000
Mailing address
4422 3RD AVE, BRONX, NY 10457-2594
(718) 960-9000
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
336250
NY
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
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