MODERN DERMATOLOGY OF KENTUCKY LLC NPI 1699382507

NPI Information

MODERN DERMATOLOGY OF KENTUCKY LLC is a specialist in Lexington, KY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MODERN DERMATOLOGY OF KENTUCKY LLC NPI is 1699382507. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

177 BURT RD
LEXINGTON, KY
ZIP 40503-457
Phone: (859) 276-1511

The provider's authorized official is Frank Combs .
The authorized official title is Managing Partner and has the following contact phone number (859) 276-1511.

The CLIA number assigned to this NPI record is 18D2200629 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/24/2020 and was last updated on 3/7/2022.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.