# VITALE DERMATOLOGY PLLC

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

## Provider details

- **NPI number:** 1245191915
- **Authorized official:** DR. TIMOTHY SMALLWOOD DNP, APRN, FNP-BC (CEO)
- **Authorized official phone:** (859) 740-3376

## Contact information

- **Practice address:** 505 SHOPPERS DR STE 1, WINCHESTER, KY 40391-2808
- **Practice address phone:** (606) 359-1562
- **Mailing address:** 505 SHOPPERS DR STE 1, WINCHESTER, KY 40391-2808
- **Mailing address phone:** (859) 740-3376
- **Mailing address fax:** (859) 740-3378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2025
- **Last updated:** 06/17/2026