DR. KELLY LYNNE KILLEEN (NPI# 1699807065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699807065 |
Entity Type | Individual |
Full Name | DR. KELLY LYNNE KILLEEN |
Credential | M.D. |
Practice Address |
436 N Bedford Dr Ste 103 Beverly Hills CA 90210-4323 |
Practice Telephone | 3102788200 |
Practice Fax Number | 3102788230 |
Mailing Telephone | (310) 278-8200 |
Mailing Fax Number | 3102788230 |
Enumeration Date | 2007-03-12 |
Last Update Date | 2017-08-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | A92060 | CA | Allopathic & Osteopathic Physicians |
Street Address |
436 N BEDFORD DR STE 103 |
City | BEVERLY HILLS |
State | CA |
Zip Code | 90210-4323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467076885 | Amy Maria York | Surgery | 436 N Bedford Dr Ste 103, Beverly Hills, CA 90210-4323 | 2020-06-01 |
1861979288 | Cassileth Recontructive Surgeons, Inc | Surgery | 436 N Bedford Dr Ste 103, Beverly Hills, CA 90210-4323 | 2018-07-27 |
1851684062 | Catherine S. Chang | Plastic Surgery | 436 N Bedford Dr Ste 103, Beverly Hills, CA 90210-4323 | 2011-05-20 |
1417247636 | Shea Kaplan | Physician Assistant | 436 N Bedford Dr Ste 103, Beverly Hills, CA 90210-4323 | 2011-04-08 |
1669761383 | Hye Youn Min | Plastic Surgery | 436 N Bedford Dr Ste 103, Beverly Hills, CA 90210-4323 | 2011-04-04 |
1285850792 | Lisa B Cassileth, Md, Inc | Surgery | 436 N Bedford Dr Ste 103, Beverly Hills, CA 90210-4323 | 2007-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
Find all providers in zip 90210 |
Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841644366 | Joubin S. Gabbay Md Inc | Plastic Surgery | 9663 Santa Monica Blvd # 154, Beverly Hills, CA 90210-4303 | 2016-04-21 |
1295195642 | Sap Reconstructive Surgery Inc | Plastic Surgery | 3060 Deep Canyon Dr, Beverly Hills, CA 90210-1043 | 2016-02-28 |
1912263641 | Warren M. Lent Md Inc | Plastic Surgery | 150 N Robertson Blvd Ste 140, Beverly Hills, CA 90211-2143 | 2012-04-06 |
1881987832 | Omar Nomaan Hussain | Plastic Surgery | 8907 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1928 | 2011-05-24 |
1316260953 | Daniel Barrett | Plastic Surgery | 9701 Wilshire Blvd Ste Ml1, Beverly Hills, CA 90212 | 2010-03-10 |
1093038135 | John Fu-tsun Hsu | Plastic Surgery | 416 N Bedford Dr Ste 100, Beverly Hills, CA 90210-4308 | 2010-03-03 |
1699938225 | Shahrokh Jimmy Firouz | Plastic Surgery | 416 N Bedford Dr Ste 310, Beverly Hills, CA 90210-4309 | 2008-07-03 |
1588823181 | Payam Jarrahnejad | Plastic Surgery | 465 N Roxbury Dr Ste 1017, Beverly Hills, CA 90210-4213 | 2008-06-09 |
1770759177 | Amir H Tahernia | Plastic Surgery | 145 N Robertson Blvd, Beverly Hills, CA 90211 | 2008-05-06 |
1154597417 | Ronald P. Chao | Plastic Surgery | 240 N Crescent Dr Apt 104, Beverly Hills, CA 90210-4829 | 2008-05-06 |
Find all providers in BEVERLY HILLS |
City | BEVERLY HILLS |
Zip Code | 90210 |
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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.