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Contact Information

BARDSTOWN DERMATOLOGY PSC
114 MANOR DR
BARDSTOWN, KY40004-3230
 Phone: 502-349-9999
 Fax: 502-349-9499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Medical

363AM0700X 97 Physician Assistant
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BARDSTOWN DERMATOLOGY PSC

NPI # 1932260783
LBN Legal business name BARDSTOWN DERMATOLOGY PSC
Authorized official CONNIE CHESER - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2006
Last updated 01/17/2019 - About 7 years ago
Identifiers
KY Medicaid 65934416
KY Other 9809 MEDICARE
KY Other 1135703 PASSPORT
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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