Individual provider · Type 1 NPI

Kyle Mackenzie Campbell, DO

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1053993246 Active

Practice location

3500 Gaston Ave
Dallas, TX 75246-2017

Mailing address

4040 Koehler St Apt 2015
Houston, TX 77007-3671

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10075487 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053993246

Kyle Mackenzie Campbell, DO's National Provider Identifier is 1053993246, issued on Apr 27, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Apr 27, 2021.