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Individual

KATELYN URBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
180 NEWPORT CENTER DR STE 158, NEWPORT BEACH, CA 92660-0934
(440) 585-6500
Mailing address
13400 E RIVER RD, COLUMBIA STATION, OH 44028-9535
(440) 213-6831

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A21877
CA
207ND0101X
MOHS-Micrographic Surgery Physician
20A21877
CA
207NS0135X
Procedural Dermatology Physician
20A21877
CA

Other

Enumeration date
11/12/2013
Last updated
06/17/2025
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