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

Dr. Karl K Kellawan II, MD

Individual provider Dermatology Physician · NPI 1356359517

Dr. Karl K Kellawan II, MD is a Dermatology in Centerville, Ohio. Graduated from Loma Linda University School of Medicine in 1982, 44 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
44
Trained at
Loma Linda University School of Medicine
Licensed in
OH
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

220 E Spring Valley Pike
Centerville, OH 45458-2653
Phone: (937) 438-3376
Fax: (937) 438-9424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1149 Stone Dr Ste 100, Harrison, OH 45030-1676 — (513) 845-8120

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 35056902 (OH)

Record details

NPI number1356359517
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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