DR. KARL K KELLAWAN II


Address: 400 N Main St, Suite D, Centerville, OH 45459-4489
Phone: 9374383376

DR. KARL K KELLAWAN II (NPI# 1356359517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356359517
Entity Type Individual
Full Name DR. KARL K KELLAWAN II
Credential M.D.
Practice Address 400 N Main St
Suite D
Centerville
OH 45459-4489
Mailing Address 801 York St
Manitowoc
WI 54220-4630
Practice Telephone 9374383376
Practice Fax Number 9374389424
Mailing Telephone 8666309882
Mailing Fax Number 9206825810
Enumeration Date 2006-08-04
Last Update Date 2015-02-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 35056902 OH Allopathic & Osteopathic Physicians

Office Location

Street Address 400 N MAIN ST
SUITE D
City CENTERVILLE
State OH
Zip Code 45459-4489

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891183059 Forefront Dermatology, S.c. Dermatology 400 N Main St, Suite D, Centerville, OH 45459 2014-12-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659917466 Sarai Burke Robinson Occupational Therapist 2200 Miami Valley Rd, Dayton, OH 45459 2019-11-27
1689179855 Paragon Infusion Therapy, LLC Durable Medical Equipment & Medical Supplies 1746 Thomas Paine Pkwy, Centerville, OH 45459 2018-03-28
1922555473 Hannah Gualtieri Specialist/Technologist Miami Valley Drive, Suite 320, Centerville, OH 45459 2016-09-01
1326410028 Kathleen E Dorsten Counselor 37 Irongate Park Dr, Centerville, OH 45459 2015-10-21
1184000846 Valeriya Falkenshtern Specialist/Technologist 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 2015-08-05
1700169331 Monica Lynn Carrico Registered Nurse 7625 Paragon Road Suite C, Dayton, OH 45459 2011-09-20
1427360080 Tonia S Campbell Physical Therapist 1235 E. Alex Bell Road, Centerville, OH 45459 2010-07-11
1265768956 Health At Home, LLC Home Health 6443 Bethany Village Drive, Dayton, OH 45459 2009-10-30
1881826337 Annetta Jean Davis Social Worker 7950 Clyo Road, Centerville, OH 45459 2009-08-18
1740459783 Ryan A Long Dentist 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 2008-02-25
Find all providers in zip 45459

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629396841 Integrated Dermatology of Bountiful LLC Dermatology 1222 W Legacy Crossing Blvd Ste 200, Centerville, UT 84014-5560 2010-05-12
1821191271 William Harry Abildgaard Jr. Dermatology 400 N Main St Ste D, Centerville, OH 45459-4424 2006-09-07
1336132950 Patricia A Dickerson Dermatology 1299 E Alex Bell Rd, Centerville, OH 45459-2658 2005-08-30
1679923197 Forefront Dermatology, S.c. Dermatology 6720 Loop Rd, Centerville, OH 45459 2016-06-15
1962795302 Dermatology & Aesthetic Care LLC Dermatology 1299 E Alex Bell Rd, Centerville, OH 45459-2658 2011-05-18
1598982704 Dermatology Laser Surgery Center Inc Dermatology 6720 Loop Rd, Centerville, OH 45459-2161 2007-04-19
1316056567 Eugene Conte Dermatology 8940 Kingsridge Dr, Ste 104, Centerville, OH 45458-1632 2006-08-30
1215041041 Patricia A. Dickerson Md Dermatology 1299 E Alex Bell Rd, Centerville, OH 45459-2658 2006-08-18
1760491401 Advanced Dermatology of Ohio, Inc Dermatology 8940 Kingsridge Dr, Ste 104, Centerville, OH 45458-1632 2006-08-05
1114994068 Barbara Baughman Cortez Dermatology 273 Regency Ridge Dr, Centerville, OH 45459-4221 2006-02-28
Find all providers in CENTERVILLE

Competitor

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City CENTERVILLE
Zip Code 45459

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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