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

Kentucky Dermatology Clinic, PLLC

Organization Dermatology Physician · NPI 1770806424

Kentucky Dermatology Clinic, PLLC provides Dermatology Physician services in Glasgow, Kentucky. Licensed in Kentucky. Registered with an NPI since 2010.

Licensed in
KY
In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 State Ave
Glasgow, KY 42141-1451 Not confirmed with CMS for 14 years — call before visiting
Phone: (917) 371-7230
Fax: (636) 444-2042
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 43075 (KY)

Record details

NPI number1770806424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clemens Esche — Ceo · (917) 371-7230
NPI enumeratedMarch 9, 2010
Last updated in NPPESJune 26, 2012
Mailing address5480 Wisconsin Ave, 920, Chevy Chase, MD 20815-3530