Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

East Louisville Dermatology, PSC

Organization Dermatology Physician · NPI 1255468872

East Louisville Dermatology, PSC provides Dermatology Physician services in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4912 US Highway 42 Ste 208
Louisville, KY 40222-6349
Phone: (502) 426-9565
Fax: (502) 425-3240
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 24086 (KY)

Record details

NPI number1255468872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terrie Williams — President · (502) 426-9565
NPI enumeratedFebruary 28, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4912 Us Highway 42, Suite 208, Louisville, KY 40222-6349

Other providers in Louisville