Dermatology Associates Of Kentucky Psc

LBN: Dermatology Associates Of Kentucky Psc
Dermatology Associates Of Kentucky Psc is an health care organization with primary practice located at 250 Fountain Ct , Lexington KY 40509-1888. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Dermatology Associates Of Kentucky Psc can be contacted via phone (859) 263-4444, or through De Castro, Fernando via phone (859) 263-4444.

Contact Information

Primary practice address
250 Fountain Ct Lexington KY 40509-1888
Phone: (859) 263-4444
Fax: (859) 543-8867
Website:
Map and Directions
Authorized official contact:
Name: De Castro, Fernando Doctor of Medicine (MD)
Phone: (859) 263-4444

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1174692610
LBN Legal business name Dermatology Associates Of Kentucky Psc
DBA Doing business as
Authorized official De Castro, Fernando Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Jan 7th, 2011 - about 15 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 1174692610 NPPES
Kentucky MEDICAID 7100120610
Kentucky MEDICAID 65900391

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