Individual
MRS. KELLY NICOLE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
26585 RALEIGH RD, MILLSBORO, DE 19966-7045
(443) 783-7223
Mailing address
24436 E LOUISIANA CIRCLE, AURORA, CO 80018
(443) 783-7223
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0013477
CO
Other
Enumeration date
01/05/2013
Last updated
11/04/2014
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