NPI Details
Kristen Marie Kelly, MD is a procedural dermatology dermatology in Orange, CA with 32 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). Kristen Marie Kelly, MD NPI is 1265448609. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduation Year:1993
The provider's business location address is:
101 THE CITY DR S
ORANGE, CA
ZIP 92868-201
Phone: (714) 456-8068
Fax: (714) 456-3765
The NPI 1265448609 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Therapy procedure using ultraviolet radiation with tar or petroleum jelly application (HCPCS:96910)
- Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
The enumeration date for this NPI number is 7/31/2006 and was last updated on 3/12/2025.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207N00000X | Dermatology | | G80021 | CALIFORNIA | No |
| 2 | 207NS0135X | Dermatology | Procedural Dermatology | G80021 | CALIFORNIA | Yes |
