KELLY L CAMPBELL (NPI# 1386605913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386605913 |
| Entity Type | Individual |
| Full Name | KELLY L CAMPBELL |
| Other Name | KELLY L CHAPMAN |
| Credential | PA |
| Practice Address |
10140 Estate Ln Dallas TX 75238-2135 |
| Practice Telephone | 9726728468 |
| Practice Fax Number | 2142210614 |
| Mailing Telephone | 9726728468 |
| Mailing Fax Number | 2142210614 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2015-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA01197 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 8Y1926 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538524723 | Kelly Campbell | Emergency Medicine | 6238 Boca Raton Cir, Corpus Christi, TX 78413-2636 | 2015-12-15 |
| 1205240611 | Kelly Anne Campbell | Psychiatry & Neurology | 1345 Philomena St # 305, Austin, TX 78723-3210 | 2014-06-12 |
| 1619214079 | Kelly Nicole Campbell | Physical Therapy Assistant | 26585 Raleigh Rd, Millsboro, DE 19966-7045 | 2013-01-05 |
| 1295010155 | Kelly Jeanne Campbell | Speech-Language Pathologist | 1775 Alysheba Way Ste 10, Lexington, KY 40509-2479 | 2011-10-11 |
| 1669763090 | Kelly Michelle Campbell | Social Worker | 204 Toasted Almond Ave, North Las Vegas, NV 89084-1326 | 2011-04-19 |
| 1740592351 | Kelly Anne Campbell | Physical Therapist | 1100 German School Rd, Richmond, VA 23225-4275 | 2010-07-12 |
| 1487976486 | Kelly Campbell | Licensed Practical Nurse | 461 43rd St, Copiague, NY 11726-1121 | 2010-02-18 |
| 1730363706 | Kelly Anne Campbell | Speech-Language Pathologist | 11047 North 79th Place, Therapy Time Speech Language Therapy, Scottsdale, AZ 85260 | 2007-12-26 |
| 1437291010 | Kelly Roberts Campbell | Social Worker | 713 Scorpion Dr, Wilmington, NC 28411-9436 | 2007-02-12 |
| 1154414043 | Kelly Stott Campbell | Physical Therapist | 4445 Sw Barbur Blvd., Suite 204, Portland, OR 97239 | 2006-10-02 |
| Street Address |
10140 ESTATE LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75238-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255596086 | Surgical Assistants of Dallas Supplies, LLC | Physician Assistant | 10140 Estate Ln, Dallas, TX 75238-2135 | 2008-07-21 |
| 1093776635 | Lu Liu | Physician Assistant | 10140 Estate Ln, Dallas, TX 75238-2135 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205317286 | Felicia Youngblood | Physical Therapist | 8615 Lullwater Dri, Dallas, TX 75238 | 2018-08-27 |
| 1942704283 | Zoom Initiative Incorporated | Clinic/Center | 12959 Jupiter Rd., Suite 140, Dallas, TX 75238 | 2018-03-21 |
| 1104345321 | Lee M Fisher | Developmental Therapist | 10333 Mosscrest Dr, Dallas, TX 75238 | 2017-09-19 |
| 1548716848 | Zoom Health Services Inc | Nursing Care | 12959 Jupiter Road Suite 140, Dallas, TX 75238 | 2016-08-28 |
| 1356691489 | Dallas Emergency Physicians | General Acute Care Hospital | 11042 Wallbrook Dr., Dallas, TX 75238 | 2012-09-17 |
| 1285993477 | Legacy Dental of Mesquite Pllc | Dentist | 9208-b E. R.l. Thorton Expressway, #209-b, Dallas, TX 75238 | 2012-05-09 |
| 1316257710 | T-dental,p.c | Dentist | 9625 Plano Road, 100, Dallas, TX 75238 | 2010-10-19 |
| 1427286764 | Sarah Elizabeth Bryant | Dental Hygienist | 10405 East Northwest Highway, Suite #301, Dallas, TX 75238 | 2009-06-25 |
| 1285868448 | Cordial Care Home Health Services Inc | Home Health | 10935 Estate Lane Suite 182, Dallas, TX 75238 | 2009-05-04 |
| 1558514695 | Lisa Camille Simmons | Counselor | 12959 Jupiter Ln, Dallas, TX 75238 | 2008-11-03 |
| Find all providers in zip 75238 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326691957 | Kourtney Marie Willett | Physician Assistant | 1411 N Beckley Ave Pav 3 Suite 363, Dallas, TX 75203-1259 | 2019-07-23 |
| 1003302944 | Amk Provider Solutions Pllc | Physician Assistant | 8197 Midtown Blvd Apt 15101, Dallas, TX 75231-4566 | 2018-07-03 |
| 1184136632 | Pa Solutions, Pllc | Physician Assistant | 1408 N Riverfront Blvd # 166, Dallas, TX 75207-3912 | 2017-10-24 |
| 1528589918 | Operator Assistants, LLC | Physician Assistant | 8440 Walnut Hill Ln Ste 250, Dallas, TX 75231-3815 | 2017-07-06 |
| 1447603683 | Exos Surgical Assist, Pllc | Physician Assistant | 7324 Gaston Ave Ste 124-90, Dallas, TX 75214-6126 | 2016-07-22 |
| 1871941419 | Premier Physician Surgical Associates, Pllc | Physician Assistant | 9540 Garland Rd # 381-416, Dallas, TX 75218-5004 | 2016-05-24 |
| 1144686452 | Clara Joplin | Physician Assistant | 10830 N. Central Expy. Suite 120, Dallas, TX 75231-1050 | 2016-01-04 |
| 1689057820 | Horizon Pa Services, Pllc | Physician Assistant | 381 Casa Linda Plz # 417, Dallas, TX 75218-3471 | 2015-07-07 |
| 1942681572 | Ridgeback Assist, Pllc | Physician Assistant | 381 Casa Linda Plz # 418, Dallas, TX 75218-3471 | 2015-06-09 |
| 1164802385 | Kris Holmes Pa Pllc | Physician Assistant | 740 Peavy Rd, Dallas, TX 75218-2149 | 2015-06-03 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on KELLY L CAMPBELL.
| 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.