KELLY MAHURON M.D. NPI 1760725790

NPI Information

  • NPI: 1760725790
  • Provider Name: KELLY MAHURON, M.D.
  • Classification: Surgery - 2086X0206X
  • Specialization: Surgical Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1500 DUARTE RD
    DUARTE, CA
    ZIP 91010
  • Phone: (626) 256-4673

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NPI Details

Kelly Mahuron, M.D. is a surgical oncology surgery in Duarte, CA with 12 years of experience. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. Kelly Mahuron, M.D. NPI is 1760725790. 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, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

1500 DUARTE RD
DUARTE, CA
ZIP 91010-012
Phone: (626) 256-4673

The NPI 1760725790 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 enumeration date for this NPI number is 3/27/2013 and was last updated on 5/7/2021.

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
1208600000XSurgery134096CALIFORNIANo
22086X0206XSurgerySurgical OncologyA134096CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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