DR. KELLY B CONNER (NPI# 1801039722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801039722 |
| Entity Type | Individual |
| Full Name | DR. KELLY B CONNER |
| Credential | M.D. |
| Practice Address |
2643 Commercial Center Blvd Ste B360 Katy TX 77494-6408 |
| Practice Telephone | 2818913690 |
| Mailing Telephone | 2813949500 |
| Mailing Fax Number | 2813945350 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2013-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | P4855 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392890 | Kelly Conner | Behavior Technician | 3101 Magic Hollow Blvd, Virginia Beach, VA 23453-3010 | 2020-10-03 |
| 1235749482 | Kelly E Conner | Speech-Language Pathologist | 7819 Conser Pl, Overland Park, KS 66204-2820 | 2020-08-03 |
| 1295185635 | Kelly Renee Conner | Physician Assistant | Medical Center Blvd, Neurology Dept, Winston Salem, NC 27157-0001 | 2016-06-16 |
| Street Address |
2643 COMMERCIAL CENTER BLVD STE B360 |
| City | KATY |
| State | TX |
| Zip Code | 77494-6408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780926733 | Cinco Ranch Dermatology, P.a. | Dermatology | 2643 Commercial Center Blvd, Ste B360, Katy, TX 77494-6408 | 2013-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447661939 | Alexander Marzuka | Dermatology | 430 S Mason Rd Ste 101, Katy, TX 77450 | 2014-05-19 |
| 1386055382 | Adrian Subrt | Dermatology | 1331 W Grand Pkwy N Ste 370, Katy, TX 77493-2737 | 2014-05-13 |
| 1003250457 | Connie Mengyan Wang | Dermatology | 4603 Fm 1463 Rd Ste 100, Katy, TX 77494-6545 | 2013-04-28 |
| 1033466487 | Robert Lin | Dermatology | 23530 Kingsland Blvd Ste 140, Katy, TX 77494-7466 | 2012-08-03 |
| 1215202015 | Dr. W. Dermatology | Dermatology | 22028c Highland Knolls Dr, Katy, TX 77450-5859 | 2012-03-13 |
| 1992084735 | Rod Mahmoudizad | Dermatology | 21800 Katy Fwy Ste 200, Katy, TX 77449-7780 | 2011-08-10 |
| 1700852605 | Sherry N Ingraham | Dermatology | 430 S Mason Rd, Suite 101, Katy, TX 77450-2447 | 2006-02-28 |
| 1033110929 | Adam J Czelusta | Dermatology | 21310 Provincial Blvd, Katy, TX 77450-7580 | 2005-08-02 |
| 1104337526 | Elite Dermatology, Pllc | Dermatology | 4603 Fm 1463 Rd Ste 100, Katy, TX 77494-6545 | 2017-10-12 |
| 1164950317 | Houston Dermatology and Plastic Surgery | Dermatology | 3030 S Mason Rd, Katy, TX 77450-7633 | 2017-06-01 |
| Find all providers in KATY | ||||
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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.