Individual provider · Type 1 NPI

Kenneth James Minielly, MD

Dermatology Physician · Springfield, IL

NPI number 1699125062 Active

Practice location

751 N Rutledge St Ste 2300
Springfield, IL 62702-4968

Call (217) 545-8000 Map

Fax (217) 545-7438

Mailing address

PO Box 19644
Springfield, IL 62794-9644

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X125-068691 (IL)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1699125062

Kenneth James Minielly, MD's National Provider Identifier is 1699125062, issued on Jun 16, 2016. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Springfield, IL. The record was last updated on Jun 16, 2016.