National Provider Identifier Database

BARDSTOWN DERMATOLOGY PSC
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

BARDSTOWN DERMATOLOGY PSC
114 MANOR DR
BARDSTOWN, KY40004-3230
Phone: 502-349-9999
Fax: 502-349-9499
Website:
Specialty Taxonomy Code
* Dermatology 207N00000X
Medical 363AM0700X
Nurse Practitioner 363L00000X

* Indicates primary specialty

NPI Profile & details for BARDSTOWN DERMATOLOGY PSC

NPI Number 1932260783
Legal business name
LBN
BARDSTOWN DERMATOLOGY PSC
Authorized official CONNIE CHESER - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 12/13/2006
Last updated 01/17/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • KY Medicaid: 65934416
  • KY Other: 9809 MEDICARE
  • KY Other: 1135703 PASSPORT

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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