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

Kathleen Kelley, MD

Individual provider Dermatology Physician · NPI 1245626225

Kathleen Kelley, MD is a Dermatology in South Bend, Indiana. Graduated from Indiana University School of Medicine in 2015, 11 years ago. Practices with Cardinal Dermatology LLC, a 6-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2015
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

4322 S Lafayette Blvd
South Bend, IN 46614
Phone: (574) 391-1111
Fax: (574) 859-5040
Show map & directions

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

Additional practice locations (2)

  • 6913 N Main St, Granger, IN 46530-8039 — (574) 647-3376
  • 1815 E Ireland Rd, South Bend, IN 46614-2845 — (574) 647-1700

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 01082520A (IN)

Record details

NPI number1245626225
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2015
Last updated in NPPESDecember 18, 2024
Certification dateDecember 12, 2024

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Cardinal Dermatology Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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