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Organization

KELAMIS PLASTIC SURGERY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH ALEXANDER KELAMIS MD (PLASTIC SURGEON/OWNER)
(918) 408-3549
Entity
Organization

Contact information

Practice address
101 GRANT PLACE, SUITE A, FAYETTEVILLE, AR 72703-5255
(479) 935-3227
(833) 927-2540
Mailing address
2905 N ROM ORCHARD RD, FAYETTEVILLE, AR 72703-4679
(479) 316-3430

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209751001
AR
01
425716AD6D
MEDICARE
AR
Enumeration date
02/02/2021
Last updated
03/16/2026
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