# OWENSBORO DERMATOLOGY ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093138323
- **Authorized official:** JULIA ALVEY (CREDENTIALING)
- **Authorized official phone:** (270) 852-3893

## Contact information

- **Practice address:** 2821 NEW HARTFORD RD, OWENSBORO, KY 42303-1320
- **Practice address phone:** (270) 685-5777
- **Practice address fax:** (270) 685-0190
- **Mailing address:** 2821 NEW HARTFORD RD, OWENSBORO, KY 42303-1320
- **Mailing address phone:** (270) 685-5777
- **Mailing address fax:** (270) 685-0190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2014
- **Last updated:** 06/05/2025