Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elkhorn Dermatology PLLC

Organization Dermatology Physician · NPI 1841722980

Elkhorn Dermatology PLLC provides Dermatology Physician services in Georgetown, Kentucky. Licensed in Kentucky. Registered with an NPI since 2017.

Licensed in
KY
In the registry since
2017
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

304 Boston Sq
Georgetown, KY 40324-9786
Phone: (502) 316-9425
Fax: (502) 316-9451
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Dermatology Physician Taxonomy 207N00000X · Licence 49577 (KY)
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1841722980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chase Wilson — Owner · (502) 316-9425
NPI enumeratedMarch 29, 2017
Last updated in NPPESAugust 24, 2020
Certification dateAugust 24, 2020
Mailing address304 Boston Sq, Georgetown, KY 40324-9786

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