Individual provider · Type 1 NPI

Kavantissa Monarawila Keppetipola, MD

Neurological Surgery Physician · Gainesville, GA

NPI number 1013475201 Active

Practice location

1315 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3875

Call (770) 219-9678 Map

Mailing address

PO Box 742616
Atlanta, GA 30374-2616

Other practice locations

  • 600 S Paulina St, Chicago, IL 60612-3806 · (312) 942-7100

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Neurological Surgery Physician Primary 207T00000X113510 (GA)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1013475201

Kavantissa Monarawila Keppetipola, MD's National Provider Identifier is 1013475201, issued on Mar 6, 2019. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Gainesville, GA. The record was last updated on Aug 26, 2026.