Organization
DERMATOPATHOLOGY CONSULTANTS OF KENTUCKY PLLC
Active
Other names
Family Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TJ BURCH (OFFICE MANAGER)
(502) 495-1162
Entity
Organization
Contact information
Practice address
2307 GREENE WAY STE A, LOUISVILLE, KY 40220-4097
(502) 806-3376
(502) 495-0156
Mailing address
2307 GREENE WAY STE C, LOUISVILLE, KY 40220-4097
(502) 806-3376
(502) 495-0156
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
—
KY
207ND0900X
Dermatopathology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/18/2015
Last updated
09/20/2024
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