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Organization
ADVANCED CLINICAL DERMATOLOGY, PSC
Active
Organization
ADVANCED CLINICAL DERMATOLOGY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEIGH ANN CARTER M.D. (PRESIDENT/DERMATOLOGIST)
(859) 288-5004
Entity
Organization
Contact information
Practice address
715 SHAKER DR STE 132, LEXINGTON, KY 40504-3663
(859) 288-5004
(859) 288-5007
Mailing address
1401 HARRODSBURG RD, SUITE C415, LEXINGTON, KY 40504-3751
(859) 288-5004
(859) 288-5007
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
40054
KY
363AM0700X
Medical Physician Assistant
PA602
KY
363L00000X
Nurse Practitioner
3688P
KY
Other
Enumeration date
08/14/2007
Last updated
07/14/2026
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