ADVANCED CLINICAL DERMATOLOGY PSC NPI 1558553560

NPI Information

ADVANCED CLINICAL DERMATOLOGY, PSC is a medical specialty clinic center in Lexington, KY. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ADVANCED CLINICAL DERMATOLOGY, PSC NPI is 1558553560. The provider is registered as an organization entity type.

The provider's business location address is:

1401 HARRODSBURG RD
SUITE C415
LEXINGTON, KY
ZIP 40504-751
Phone: (859) 288-5004
Fax: (859) 288-5007

The provider's authorized official is Leigh Ann Carter .
The authorized official title is President/dermatologist and has the following contact phone number (859) 288-5004.

The CLIA number assigned to this NPI record is 18D1065320 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/14/2007 and was last updated on 2/20/2017.

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:

Other Identifiers

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

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