| NPI | 1275580888 |
|---|---|
| Doing Business As | WEST KENTUCKY DERMATOLOGY, PSC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM F. SMITH President 270-821-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2021-01-12 |