NPI 1255468872

East Louisville Dermatology, Psc

Organisation Dermatology Physician Louisville, KY

Practice location

Address: 4912 US Highway 42 Suite 208, Louisville, KY 40222-6349
Phone: (502) 426-9565
Fax: (502) 425-3240

Authorised official

Name: Terrie S Williams
Title: President
Phone: (502) 426-9565

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 24086 (KY)

Other Dermatology providers in Kentucky →

Registry record

NPI: 1255468872
Entity type: Organization
NPI issued: 28 Feb 2007
Record last updated: 22 Aug 2020

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.