KENTUCKY DERMATOLOGY OBS LONDON INC NPI 1336271048

NPI Information

NPI: 1336271048
Provider Name: KENTUCKY DERMATOLOGY OBS LONDON INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 18D0875237

Address:
177 BURT RD
LEXINGTON, KY
ZIP 40503
Phone: (859) 276-1511
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KENTUCKY DERMATOLOGY OBS LONDON INC is an ambulatory surgical clinic center in Lexington, KY. KENTUCKY DERMATOLOGY OBS LONDON INC NPI is 1336271048. The provider is registered as an organization entity type.

The provider's business location address is:

177 BURT RD
LEXINGTON, KY
ZIP 40503-410
Phone: (859) 276-1511
Fax: (859) 276-3373

The provider's authorized official is Clifton Smith .
The authorized official title is Owner and has the following contact phone number (859) 276-1511.

The CLIA number assigned to this NPI record is 18D0875237 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/9/2007 and was last updated on 3/13/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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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