ASSOCIATE IN DERMATOLOGY AND DERMATOPATHOLOGY PLLC

LOUISVILLE, KY
NPI1689927576
Entity TypeOrganization
Authorized ContactLAFAYETTE G OWEN
Owner
812-218-8927
Organization Subpart ?No
Primary Taxonomy207ND0900X Dermatology Dermatopathology
(Licence: KY  13257)
Enumeration Date2012-10-17
Last Update Date2018-04-18
Business Address
ASSOCIATE IN DERMATOLOGY AND DERMATOPATHOLOGY PLLC
1700 OLD BLUEGRASS AVE STE 200
LOUISVILLE, KY 40215-1174
Phone number: 502-361-3909
Mailing Address
ASSOCIATE IN DERMATOLOGY AND DERMATOPATHOLOGY PLLC
1700 OLD BLUEGRASS AVE STE 200
LOUISVILLE, KY 40215-1174
Phone number: 502-361-3909