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:
Map and Directions
Authorized official contact:
Name: Pruden, Samuel J Doctor of Medicine (MD)
Phone: (859) 296-7546

Health care specialties

SpecialtyCodeLicense #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 3 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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