| NPI | 1093595696 |
|---|---|
| Doing Business As | DERMATOLOGY ASSOCIATES OF KENTUCKY PSC |
| Entity Type | Organization |
| Authorized Contact | DEE GAINES Director 859-258-4491 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0101X Dermatology MOHS-Micrographic Surgery | |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-30 |