Advanced Clinical Dermatology, Psc

LBN: Advanced Clinical Dermatology, Psc
Advanced Clinical Dermatology, Psc is an health care organization with primary practice located at 1401 Harrodsburg Rd Suite C415, Lexington KY 40504-3751. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty. Advanced Clinical Dermatology, Psc can be contacted via phone (859) 288-5004, or through Carter, Leigh Ann via phone (859) 288-5004.

Contact Information

Primary practice address
1401 Harrodsburg Rd Suite C415 Lexington KY 40504-3751
Phone: (859) 288-5004
Fax: (859) 288-5007
Website:
Map and Directions
Authorized official contact:
Name: Carter, Leigh Ann Doctor of Medicine (MD)
Phone: (859) 288-5004

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 40054 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA602 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3688P Kentucky

Profile Details

NPI number 1558553560
LBN Legal business name Advanced Clinical Dermatology, Psc
DBA Doing business as
Authorized official Carter, Leigh Ann Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2007
Last updated Feb 20th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558553560 NPPES
Kentucky MEDICAID 7100090760
Kentucky Other 1033189295
Kentucky Other DN1298

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