National Provider Identifier Database

VALLEY DERMATOLOGY CLINIC PC
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.


Contact Information

VALLEY DERMATOLOGY CLINIC PC
3270 20TH ST S
FARGO, ND58104-5917
Phone: 701-293-7408
Fax: 701-235-2099
Website:
Specialty Taxonomy Code
* Dermatology 207N00000X

* Indicates primary specialty

NPI Profile & details for VALLEY DERMATOLOGY CLINIC PC

NPI Number 1043380223
Legal business name
LBN
VALLEY DERMATOLOGY CLINIC PC
Authorized official KIMBERLY KELLY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/08/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • ND Medicaid: 13495
  • MN Other: 510R8VA BLUE SHIELD
  • ND Other: 06546001 BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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