SKIN GROUP PLLC

LOUISVILLE, KY
NPI1366564494
Entity TypeOrganization
Authorized ContactROBERT H ZAX
President
502-583-6647
Organization Subpart ?No
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: KY  25359)
Additional Taxonomies363A00000X Physician Assistant
(Licence: KY  PA1034)
363L00000X Nurse Practitioner
(Licence: KY  4440P)
Enumeration Date2007-04-06
Last Update Date2024-10-09
Business Address
SKIN GROUP PLLC
2307 RIVER RD STE 101
LOUISVILLE, KY 40206-5000
Phone number: 502-583-6647
Mailing Address
SKIN GROUP PLLC
PO BOX 36422
LOUISVILLE, KY 40233-6422
Phone number: 502-583-6647