Dermatology Center Of Lake Cumberland, Psc

LBN: Dermatology Center Of Lake Cumberland, Psc
Dermatology Center Of Lake Cumberland, Psc is an health care organization with primary practice located at 120 Tradepark Dr Suite B, Somerset KY 42503-3454. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Dermatology Center Of Lake Cumberland, Psc can be contacted via phone (606) 679-9292, or through Bentley, Teresa via phone (606) 679-9292.

Contact Information

Primary practice address
120 Tradepark Dr Suite B Somerset KY 42503-3454
Phone: (606) 679-9292
Fax: (606) 679-9294
Website:
Map and Directions
Authorized official contact:
Name: Bentley, Teresa Doctor of Medicine (MD)
Phone: (606) 679-9292

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Kentucky
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X Kentucky
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X Kentucky
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Kentucky

Profile Details

NPI number 1477639243
LBN Legal business name Dermatology Center Of Lake Cumberland, Psc
DBA Doing business as
Authorized official Bentley, Teresa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Mar 11th, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477639243 NPPES
Other 000000059419 ANTHEM BLUE CROSS
MEDICAID 65922262 ANTHEM BLUE CROSS
Other CA3970 ANTHEM BLUE CROSS

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