Kyle Mackenzie Campbell, DO
Student in an Organized Health Care Education/Training Program in Dallas, TX. Individual provider (NPI-1).
NPI number1053993246
StatusActive
Last updated in NPPESApr 27, 2021
Details
- NPI
- 1053993246
- Entity type
- Individual (NPI-1)
- Name
- Kyle Mackenzie Campbell
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2021
- Certification date
- Apr 27, 2021
- Last updated
- Apr 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | BP10075487 | TX | Yes |
Practice location
3500 Gaston AveDallas, TX 75246-2017
Phone 214-820-2361
Mailing address
4040 Koehler St Apt 2015Houston, TX 77007-3671
Phone 210-363-2002
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