OrganizationActive
Coosa River Dermatology, Inc
NPI 1447003579 · MOHS-Micrographic Surgery Physician · Pell City, AL
Provider details
- NPI number
- 1447003579
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelsey Kennedy, President/Ceo(205) 514-1664
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1242 Martin St S Ste B
Pell City, AL 35128-2310
Phone: (205) 514-1664
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 932
Trussville, AL 35173-0932
Registry dates
- Enumerated
- 2024-04-09
- Last updated
- 2024-04-09
- Certified
- 2024-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.