Bardstown Dermatology Psc

LBN: Bardstown Dermatology Psc
Bardstown Dermatology Psc is an health care organization with primary practice located at 114 Manor Dr , Bardstown KY 40004-3230. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Bardstown Dermatology Psc can be contacted via phone (502) 349-9999, or through Cheser, Connie via phone (502) 349-9999.

Contact Information

Primary practice address
114 Manor Dr Bardstown KY 40004-3230
Phone: (502) 349-9999
Fax: (502) 349-9499
Website:
Map and Directions
Authorized official contact:
Name: Cheser, Connie
Phone: (502) 349-9999

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1932260783
LBN Legal business name Bardstown Dermatology Psc
DBA Doing business as
Authorized official Cheser, Connie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Jan 17th, 2019 - about 7 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 1932260783 NPPES
Kentucky Other 9809 MEDICARE
Kentucky Other 1135703 MEDICARE
Kentucky MEDICAID 65934416 MEDICARE

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