NPI 1023409612
Dermatopathology Consultants of Kentucky PLLC
Practice location
- Address
- 2307 Greene Way STE a, Louisville, KY 40220-4097
- Phone
- (502) 806-3376
- Fax
- (502) 495-0156
- Mailing address
- 2307 Greene Way STE C, Louisville, KY 40220-4097
Authorised official
- Name
- Tj Burch
- Title
- Office Manager
- Phone
- (502) 495-1162
Registered specialties (4)
Dermatopathology Physician
Primary
Dermatopathology Physician
Physician Assistant
Nurse Practitioner
Registry record
- NPI
- 1023409612
- Entity type
- Organization
- NPI issued
- 18 Feb 2015
- Record last updated
- 20 Sep 2024
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.