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Contact Information

ELKHORN DERMATOLOGY PLLC
304 BOSTON SQ
GEORGETOWN, KY40324-9786
 Phone: 502-316-9425
 Fax: 502-316-9451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELKHORN DERMATOLOGY PLLC

NPI # 1841722980
LBN Legal business name ELKHORN DERMATOLOGY PLLC
Authorized official CHASE WILSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2017
Last updated 08/24/2020 - About 6 years ago
Identifiers
KY License # 49577
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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