Organization
VITALE DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY SMALLWOOD DNP, APRN, FNP-BC (OWNER)
(606) 359-1562
Entity
Organization
Contact information
Practice address
505 SHOPPERS DR STE 1, WINCHESTER, KY 40391-2808
(606) 359-1562
Mailing address
1795 ALYSHEBA WAY STE 4101, LEXINGTON, KY 40509-2488
(606) 359-1562
(606) 671-3681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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