NPI 1053757641

Chase Landon Wilson, MD

Practitioner Dermatology Physician Georgetown, KY

Practice location

Address: 1158 Lexington Rd, Georgetown, KY 40324-9330
Phone: (502) 316-9425
Fax: (502) 316-9451
Mailing address: PO Box 956, Georgetown, KY 40324-0956

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 49577 (KY)

Other Dermatology providers in Kentucky →

Registry record

NPI: 1053757641
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2013
Record last updated: 25 Jun 2025

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.