Skin Md
LBN: Regional Dermatology Pllc
Skin Md is an health care organization with primary practice located at 989 Governors Ln Ste 220 , Lexington KY 40513-1175. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is the primary health care specialty.
Regional Dermatology Pllc can be contacted via phone (859) 296-7546, or through Pruden, Samuel J via phone (859) 296-7546.
Contact Information
Primary practice address
989 Governors Ln Ste 220
Lexington KY 40513-1175
Phone: (859) 296-7546
Fax: (859) 721-0829
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 34192 | Kentucky |
Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 34192 | Kentucky |
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 34192 | Kentucky |
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 34192 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
NPI number | 1255851200 |
---|---|
LBN Legal business name | Regional Dermatology Pllc |
DBA Doing business as | Skin Md |
Authorized official | Pruden, Samuel J Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 21st, 2017 |
Last updated | Jul 21st, 2022 - about 2 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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