Kelli Ingram Baender in Atlanta - Procedural Dermatology
Kelli Ingram Baender - NPI 1093793416
Kelli Ingram Baender is a Procedural Dermatology in Atlanta, Georgia. Kelli Ingram Baender practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Kelli Ingram Baender is 1093793416. The last update date is 2014-10-16.
Kelli Ingram Baender's current location address is 3379 Peachtree Rd. Ne, Atlanta, Georgia. You can contact this provider via phone number 4043555484 and fax number 4043555787. The mailing address for Kelli Ingram Baender is 3379 Peachtree Rd. Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelli Ingram Baender |
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Address | 3379 Peachtree Rd. Ne, Atlanta, Georgia |
Phone Number | 4043555484 |
Fax Number | 4043555787 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1093793416 |
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Provider Enumeration Date | 2006-01-05 |
Last Updated Date | 2014-10-16 |
Provider Mailing Address Detail
Address | 3379 Peachtree Rd. Ne |
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City | Atlanta |
State | Georgia (GA) |
Post Code | 303261418 |
Phone Number | 4043555484 |
Fax Number | 4043555787 |
Provider's Primary Taxonomy Detail
Speciality | Procedural Dermatology |
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Taxonomy | 207Ns0135X |
Licence No | 60105 |
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
86080015085259A | AZ | TRIWEST | |
P00231283 | AZ | RAILROAD MEDICARE | |
894057 | AZ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kelli Ingram Baender?
The Kelli Ingram Baender has been issued the NPI (National Provider Identifier) 1093793416 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Kelli Ingram Baender is physically located?
The Kelli Ingram Baender is physically situated at the following address: 3379 Peachtree Rd. Ne, Atlanta, GA, 303261418.
What is Kelli Ingram Baender's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelli Ingram Baender is Procedural Dermatology, and the taxonomy code that classifies this field of practice is 207Ns0135X.
On what date did the Kelli Ingram Baender receive its 1093793416 assignment from the Centers for Medicare & Medicaid Services?
The Kelli Ingram Baender was assigned its 1093793416 by the Centers for Medicare & Medicaid Services on 2006-01-05.
When was the information related to Kelli Ingram Baender most recently updated or refreshed?
The details pertaining to the Kelli Ingram Baender, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-10-16.