Individual
MS. KELLEY RENEE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
1 MEMORIAL DR, ALTON, IL 62002-6722
(618) 463-7474
(618) 463-7543
Mailing address
1 MEMORIAL DR, ALTON, IL 62002-6722
(618) 463-7474
(618) 463-7543
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209009568
IL
363LF0000X
Family Nurse Practitioner
Primary
209009568
IL
Other
Enumeration date
05/27/2012
Last updated
02/20/2019
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