NPI | 1649495623 |
---|---|
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 | 2007-04-16 |
Last Update Date | 2011-03-15 |