Organization
DERMATOLOGY ASSOCIATES OF KENTUCKY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO DE CASTRO M.D. (MANAGING PARTNER)
(859) 263-4444
Entity
Organization
Contact information
Practice address
250 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 263-4444
(859) 543-8867
Mailing address
250 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 263-4444
(859) 543-8867
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65900391
—
KY
05
—
7100120610
—
KY
Enumeration date
11/07/2006
Last updated
01/07/2011
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