DR. M.D. Kelli Ingram Baender, NPI 1093793416
Procedural Dermatology Physician in Atlanta, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1093793416
NPI Entity Type Individual
Provider Name DR. M.D. Kelli Ingram Baender
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3379 Peachtree Rd. Ne, Suite 500, Atlanta, GA, US
Provider Mailing Address 3379 Peachtree Rd. Ne, Suite 500, Atlanta, GA, US, 303261418
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

207NS0135X

Taxonomy Name Procedural Dermatology Physician
Classification

Dermatology

Group

Allopathic & Osteopathic Physicians

License No. 60105
License State GA
Description 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 surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Business Address

DR. M.D. Kelli Ingram Baender
3379 Peachtree Rd. Ne
Suite 500

Atlanta, GA, US

Phone: 404-355-5484
Fax: 404-355-5787

Mailing Address

DR. M.D. Kelli Ingram Baender
3379 Peachtree Rd. Ne
Suite 500
Atlanta, GA, US
ZIP 303261418
Phone: 404-355-5484
Fax: 404-355-5787

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207N00000X

Allopathic & Osteopathic Physicians

Dermatology

60105 GA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
86080015085259A972 AZ TRIWEST 01
P00231283 AZ RAILROAD MEDICARE 01
894057 AZ MEDICAID 05

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