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KENTUCKY SKIN CANCER CENTER PLLC NPI 1902302987


NPI Information

NPI: 1902302987
Provider Name: KENTUCKY SKIN CANCER CENTER PLLC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 18D2224551

Address:
1818 WALLACE COURT
SUITE 301
BOWLING GREEN, KY
ZIP 42103
Phone: (270) 907-3030
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KENTUCKY SKIN CANCER CENTER PLLC is a mohs-micrographic surgery dermatology in Bowling Green, KY. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. KENTUCKY SKIN CANCER CENTER PLLC NPI is 1902302987. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1818 WALLACE COURT
SUITE 301
BOWLING GREEN, KY
ZIP 42103
Phone: (270) 907-3030

The provider's authorized official is Robert Skaggs .
The authorized official title is Owner and has the following contact phone number (270) 907-3030.

The CLIA number assigned to this NPI record is 18D2224551 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2018 and was last updated on 4/17/2018.


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
1207ND0101XDermatologyMOHS-Micrographic SurgeryYes

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: 4/28/2024

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