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Contact Information

EAST LOUISVILLE DERMATOLOGY, PSC
4912 US HIGHWAY 42
SUITE 208
LOUISVILLE, KY40222-6349
 Phone: 502-426-9565
 Fax: 502-425-3240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for EAST LOUISVILLE DERMATOLOGY, PSC

NPI Number 1255468872
LBN Legal business name EAST LOUISVILLE DERMATOLOGY, PSC
Authorized official TERRIE WILLIAMS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
KY License # 24086
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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