| Doctor Name: | KELLY CAMPBELL |
| NPI Number: | 1144340480 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW |
| License Number: | I0008611 |
| Business Practice Address: | 5255 N Abbe Rd Suite 1 Sheffield Village, OH - 440351451 |
| Business Phone Number: | 4409349930 |
| Business Fax Number: | 4409349645 |
| Mailing Address: | 2525 E 22nd St, CLEVELAND |
| State: | OH |
| Postal Code: | 441153202 |
| Phone Number: | 2166965800 |
| Fax Number: | |
| NPI Enumeration Date: | 03/30/2007 |
| NPI Last Update Date: | 04/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I0008611 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |