KELLEY CAMPBELL


Address: 520 Railroad St, Bangor, MI 49013-1490
Phone: 2694275811

KELLEY CAMPBELL (NPI# 1013468107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013468107
Entity Type Individual
Full Name KELLEY CAMPBELL
Credential FNP-C
Practice Address 520 Railroad St
Bangor
MI 49013-1490
Practice Telephone 2694275811
Mailing Telephone 2694275811
Enumeration Date 2016-10-24
Last Update Date 2016-11-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704278865 MI Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLEY CAMPBELL

NPI Name Taxonomy Address Enumeration
1326686684 Kelley Ann Campbell Student in an Organized Health Care Education/Training Program 417 Country Cove Ests, Scott Depot, WV 25560-9652 2019-12-18
1508140120 Kelley Campbell Pharmacist 1704 E. Commercial Ave, Lowell, IN 46356 2011-09-30
1710515440 Kelley Campbell Behavior Technician 27777 Inkster Rd, Farmington Hills, MI 48334-5326 2020-03-30
1467939132 Kelley Campbell Counselor 36 Cordage Park Cir Ste 305, Plymouth, MA 02360-7332 2018-07-25
1245590074 Kelley Renee Campbell Nurse Practitioner 1 Memorial Dr, Alton, IL 62002-6722 2012-05-27

Office Location

Street Address 520 RAILROAD ST
City BANGOR
State MI
Zip Code 49013-1490

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831124338 Isolde Kissinger Physician Assistant 520 Railroad St, Bangor, MI 49013-1490 2006-07-12
1104459627 Bronson Lakeview Hospital Clinic/Center 520 Railroad St, Bangor, MI 49013-1490 2020-02-13
1750673711 Caralyn Dehaan Family Medicine 520 Railroad St, Bangor, MI 49013-1490 2011-05-10
1174737241 David Lyman Family Medicine 520 Railroad St, Bangor, MI 49013-1490 2007-05-09
1770599052 Bronson South Haven Hospital Family Medicine 520 Railroad St, Bangor, MI 49013-1490 2006-07-31
1629097175 Rhonda L. Shinault Physician Assistant 520 Railroad St, Bangor, MI 49013-1490 2006-07-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083237051 Twin Doves I LLC Community Based Residential Treatment Facility, Mental Illness 48617 36th Ave., Bangor, MI 49013 2020-05-25
1629252895 Van Buren Cass District Health Department Community/Behavioral Health 803 West Arlington, Bangor Health Center, Bangor, MI 49013 2007-12-24
1245426808 Karen Lee Replogle Registered Nurse 52101 34th Avenue, Bangor, MI 49013 2007-09-18
1518152560 Virginia Douglas Registered Nurse 52101 34 Avenue, Bangor, MI 49013 2007-09-12
1992818835 Intercare Community Health Network Clinic/Center 308 Charles St, Bangor, MI 49013 2006-08-16
1326058512 Intercare Community Health Network Clinic/Center 50 Industrial Park Dr, Bangor, MI 49013 2006-08-09
1962439950 Michele E Allen Dentist 308 Charles Street, Bangor, MI 49013 2006-06-27
1366051898 Kasie M Broe Social Worker 52101 34th Avenue, Bangor, MI 49013 2020-07-30
1255985966 Audria Gilliland Registered Nurse 52101 34th Avenue, Bangor, MI 49013 2019-07-31
1417319476 Terri Lynn Harbin Ilg Dental Hygienist 308 Charles Street, Intercare Community Health Network, Bangor, MI 49013 2016-03-28
Find all providers in zip 49013

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073139465 Jaclyn Kimberly Foraker Nurse Practitioner 885 Union St Ste 215, Bangor, ME 04401-3092 2020-06-22
1790326585 Remigiusz Mariusz Paluszak Nurse Practitioner 417 State St #400, Bangor, Me 04401, Bangor, MA 04401-0440 2019-10-02
1629594882 Auteum Lake Nurse Practitioner 277 State St Ste 1b, Bangor, ME 04401-5440 2017-08-19
1659730323 Cherie Christopherson Nurse Practitioner 417 State St Ste 200, Bangor, ME 04401-6630 2016-02-23
1194060236 Lori M. Lipari Nurse Practitioner 50521 34th Ave, Bangor, MI 49013-9726 2012-11-30
1306107446 Theresa Marie Knowles Nurse Practitioner 103 Maine Ave, Bangor, ME 04401-4330 2012-06-05
1164594057 Amy Cotton Nurse Practitioner 885 Union Street, Suite 221, Bangor, ME 04402-0404 2006-11-15
1003901729 Nancy J Fishwick Nurse Practitioner 30 Mckinley St, Bangor, ME 04401-3830 2006-10-04
1528098316 Constance M Springer-tracy Nurse Practitioner 656 State Street, Bangor, ME 04401-5609 2006-07-04
1699715417 Claire J Mooney Nurse Practitioner 915 Union St, Bangor, ME 04401-8602 2006-06-08
Find all providers in BANGOR

Competitor

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City BANGOR
Zip Code 49013

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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