Individual
DR. KELLY CHRISTINE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1619 N 5TH ST, PONCA CITY, OK 74601-2703
(580) 762-5700
Mailing address
1619 N 5TH ST, PONCA CITY, OK 74601-2703
(580) 762-5700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2646
OK
Other
Enumeration date
07/26/2010
Last updated
12/22/2014
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