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Contact Information

KELLY C CAMPBELL, OD
1619 N 5TH ST
PONCA CITY, OK74601-2703
 Phone: 580-762-5700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KELLY C CAMPBELL · (Female)

NPI # 1477867919
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/26/2010
Last updated 12/22/2014 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 2646
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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