Associate in Dermatology and Dermatopathology PLLC
Associate in Dermatology and Dermatopathology PLLC provides Dermatopathology Physician services in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2012.
- Licensed in
- KY
- In the registry since
- 2012
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1700 Old Bluegrass Ave Ste 200Louisville, KY 40215-1174
Phone: (502) 361-3909
Fax: (502) 361-9229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatopathology Physician (primary) | Taxonomy 207ND0900X · Licence 13257 (KY) |
|---|
Record details
| NPI number | 1689927576 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lafayette Owen — Owner · (812) 218-8927 |
| NPI enumerated | October 17, 2012 |
| Last updated in NPPES | April 18, 2018 |
| Mailing address | 1700 Old Bluegrass Ave Ste 200, Louisville, KY 40215-1174 |
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