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

Kelly John Warren, MD

Individual provider Dermatology Physician · NPI 1306801071

Kelly John Warren, MD is a Dermatology in Dallas, Texas. Graduated from Columbia University College of Physicians and Surgeons in 1995, 31 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Kentucky and Texas.

Years since qualifying
31
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
FL, KY, TX
In the registry since
2006
Specialties on file
3
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

2110 Research Row Ste 100C
Dallas, TX 75235-2519
Phone: (214) 845-6426
Fax: (214) 845-7544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 109 E Us Highway 80 Ste B, Forney, TX 75126-8662 — (214) 845-6426

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence K8565 (TX)
Dermatology Physician Taxonomy 207N00000X · Licence K266750 (KY)
Dermatology Physician Taxonomy 207N00000X · Licence ME133767 (FL)

Record details

NPI number1306801071
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2006
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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