Organization
SKIN GROUP PLLC
Active
Organization
SKIN GROUP PLLC
Active
Other names
Dermatopathology Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VILMA C FABRE M.D. (MEDICAL DIRECTOR)
(502) 495-1162
Entity
Organization
Contact information
Practice address
2211 GREENE WAY, STE 100, LOUISVILLE, KY 40220-4076
(502) 495-1162
Mailing address
444 S 1ST ST, SUITE 100, LOUISVILLE, KY 40202-1474
(502) 495-1162
(502) 495-0165
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
26062
KY
Other
Enumeration date
08/04/2006
Last updated
12/03/2010
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