Whalio Doctors

NPI 1013069301

Dermatology Specialists, Psc

Organisation Dermatology Physician Louisville, KY

Practice location

Address
501 S 2nd St First Floor, Louisville, KY 40202-2862
Phone
(502) 583-7546
Fax
(502) 589-3429

Authorised official

Name
J. Mark Jackson
Title
Partner
Phone
(502) 583-7546

Registered specialties (2)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X
Specialist
Other Service Providers Taxonomy 174400000X

Registry record

NPI
1013069301
Entity type
Organization
NPI issued
17 Jan 2007
Record last updated
17 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.