Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coosa River Dermatology, Inc

Organization MOHS-Micrographic Surgery Physician · NPI 1447003579

Coosa River Dermatology, Inc is an MOHS-Micrographic Surgery Physician in Pell City, Alabama. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1242 Martin St S Ste B
Pell City, AL 35128-2310
Phone: (205) 514-1664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X

Record details

NPI number1447003579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelsey Kennedy — President/Ceo · (205) 514-1664
NPI enumeratedApril 9, 2024
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024
Mailing addressPo Box 932, Trussville, AL 35173-0932