Bluegrass Dermatology, Pllc

LBN: Bluegrass Dermatology, Pllc
Bluegrass Dermatology, Pllc is an health care organization with primary practice located at 4616 Village Square Drive , Paducah KY 42001-7501. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Bluegrass Dermatology, Pllc can be contacted via phone (270) 443-7546, or through Wilson, Douglas M via phone (270) 443-7546.

Contact Information

Primary practice address
4616 Village Square Drive Paducah KY 42001-7501
Phone: (270) 443-7546
Fax: (270) 443-4002
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Douglas M Doctor of Medicine (MD)
Phone: (270) 443-7546

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 36202 Kentucky

Profile Details

NPI number 1881740884
LBN Legal business name Bluegrass Dermatology, Pllc
DBA Doing business as
Authorized official Wilson, Douglas M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Apr 1st, 2011 - about 13 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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