Individual
KELLY L CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8230 WALNUT HILL LN STE 208, DALLAS, TX 75231-4409
(214) 692-6135
Mailing address
8230 WALNUT HILL LN STE 208, DALLAS, TX 75231-4409
(214) 692-6135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA224405
OR
363AS0400X
Surgical Physician Assistant
Primary
PA01197
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y1926
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/31/2006
Last updated
09/04/2025
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