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DR. DWIGHT CLESSON KELLICUT III MD
NPI 1871518662
Surgery - Vascular Surgery in Tripler Army Medical Center, HI

Active since July 13, 2006
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859(808) 433-6777 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Dwight Clesson Kellicut Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DWIGHT CLESSON KELLICUT III MD (NPI 1871518662) is an individual vascular surgery provider in Tripler Army Medical Center, Hawaii, licensed in Indiana (01053701A) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1871518662
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. DWIGHT CLESSON KELLICUT IIICredential: MD
Location Address1 JARRETT WHITE RDTripler Army Medical Center, HI 96859-5001
Mailing Address4725 Bougainville Dr # 115Honolulu, HI 96818-3179 · (864) 455-7000
Phone(808) 433-6777
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateJuly 28, 2023
NPPES CertifiedJuly 28, 2023
✔ NPI 1871518662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in IN · 01053701A
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORINNE REYES LCSW
Social Worker (Clinical)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-8785
DANIEL HEILMANN DO
Pediatrics
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-6697
MR. ADRIAN SCOTT WORTHEN M.D.
Internal Medicine
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (808) 433-4049
DR. JANE ELIZABETH MARSHALL OTD, OTR/L
Occupational Therapist
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (937) 231-3795
TINA WILSON DO
General Practice
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (210) 220-7961
MRS. LASHON SHEREMA WILLIAMS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-8601
DR. NICHOLAS PATRICK MAHER DO
General Practice
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (888) 683-2778
DR. KIMBERLY D DAVIS MD
Ophthalmology
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (808) 471-9998

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dwight Kellicut's NPI number?

The NPI number for Dwight Kellicut is 1871518662. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Dwight Kellicut located?

Dwight Kellicut practices at 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859. The listed phone number is (808) 433-6777.

What is Dwight Kellicut's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Dwight Kellicut was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.