Individual
KELLY M CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5777 W MAPLE RD, SUITE 200, WEST BLOOMFIELD, MI 48322-2267
(248) 932-9223
(248) 932-8641
Mailing address
5777 W MAPLE RD, SUITE 200, WEST BLOOMFIELD, MI 48322-2267
(248) 932-9223
(248) 932-8641
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
KC061242
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KC061242
STATE LICENSE
MI
Enumeration date
07/10/2006
Last updated
01/24/2013
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