Beavercreek Dermatology LLC
NPI #1265535140 in Beavercreek, Ohio
Provider Information
- NPI Number
- 1265535140
- Entity Type
- Organization
- Organization Name
- Beavercreek Dermatology LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Sep 6, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 3572 DAYTON-XENIA RD
- Address 2
- SUITE 105
- City
- Beavercreek
- State
- Ohio
- ZIP Code
- 45432-2838
- Phone
- (937) 427-4600
Authorized Official
- Name
- DR. KATHRYN V BALAZS, DO
- Title
- PRACTICE OWNER PHYSICIAN
- Phone
- (937) 427-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
| Nurse Practitioner |
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