Individual
KELLY A CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34101 FARENHOLT AVE, BLDG 14 RM 230, SAN DIEGO, CA 92134-5291
(619) 532-5104
Mailing address
34101 FARENHOLT AVE, BLDG 14 RM 230, SAN DIEGO, CA 92134-5291
(619) 532-5104
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/08/2006
Last updated
11/29/2010
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