Healthcare Provider Details

I. General information

NPI: 1528563533
Provider Name (Legal Business Name): KARA D CALLAHAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARA D YUTZY MD

II. Dates (important events)

Enumeration Date: 03/30/2018
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 CINCINNATI ST
DAYTON OH
45417-4614
US

IV. Provider business mailing address

1435 CINCINNATI ST
DAYTON OH
45417-4614
US

V. Phone/Fax

Practice location:
  • Phone: 937-739-3000
  • Fax: 937-739-3333
Mailing address:
  • Phone: 937-739-3000
  • Fax: 937-739-3333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD195077
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.141031
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: