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DERMATOLOGY ASSOCIATES OF KENTUCKY PSC NPI 1275687873


NPI Information

NPI: 1275687873
Provider Name: DERMATOLOGY ASSOCIATES OF KENTUCKY, PSC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509
Phone: (859) 263-4444
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DERMATOLOGY ASSOCIATES OF KENTUCKY, PSC is an ambulatory surgical clinic center in Lexington, KY. DERMATOLOGY ASSOCIATES OF KENTUCKY, PSC NPI is 1275687873. The provider is registered as an organization entity type.

The provider's business location address is:

250 FOUNTAIN CT
LEXINGTON, KY
ZIP 40509-888
Phone: (859) 263-4444
Fax: (859) 543-8867

The provider's authorized official is Laurie Massa .
The authorized official title is Managing Partner and has the following contact phone number (859) 263-4444.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 10/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical300149KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ASC1037MEDICARE PINKENTUCKY
2000000304454OTHERANTHEM
3000000304454OTHERKENTUCKYANTHEM BLUE CROSS & BLUE SHIELD
4490005771MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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