NPI 1013069301
Dermatology Specialists, Psc
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
Specialist
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.