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KELLY A CAMPBELL
NPI 1336117258
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since March 08, 2006
34101 FARENHOLT AVE, BLDG 14 RM 230, SAN DIEGO, CA 92134(619) 532-5104 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly A Campbell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY A CAMPBELL (NPI 1336117258) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1336117258
Entity TypeIndividualFemale
Primary Taxonomy1710I1002X
Provider Legal NameKELLY A CAMPBELL
Location Address34101 FARENHOLT AVE, BLDG 14 RM 230San Diego, CA 92134-5291
Mailing Address34101 Farenholt Ave, Bldg 14 Rm 230San Diego, CA 92134-5291 · (619) 532-5104
Phone(619) 532-5104
Sole ProprietorYes
Enumeration DateMarch 8, 2006
Last NPPES UpdateNovember 29, 2010
✔ NPI 1336117258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
34101 FARENHOLT AVE, San Diego, CA 92134
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Other Names 1

Former Name (1)Kelly A Wade

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER A WALLACE IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7801
MR. GABRIEL A MICHAELS IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (216) 701-4316
MR. GABRIEL JOSE SAN PEDRO IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
ALEXANDER BOX
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (843) 605-3091
CHANTE ALLI MOORE
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (215) 681-7866
MR. STEVEN R CURRIER JR. SURFACE IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
MARCO OLIVAREZ
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
MR. ANDREW BUD TAYLOR IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE, BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-6233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Campbell's NPI number?

The NPI number for Kelly Campbell is 1336117258. It was assigned to this individual provider in the NPPES registry on March 8, 2006. The provider is also known as Kelly A Wade.

Where is Kelly Campbell located?

Kelly Campbell practices at 34101 Farenholt Ave Bldg 14 Rm 230, San Diego, CA 92134. The listed phone number is (619) 532-5104.

What is Kelly Campbell's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Kelly Campbell was last updated on November 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.