Organization
INTEGRATED DERMATOLOGY OF E COMMONWEALTH KY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIA MILLER (DIRECTOR OF CREDENTIALING)
(828) 231-9297
Entity
Organization
Contact information
Practice address
1101 MASTER ST, CORBIN, KY 40701-3511
(606) 528-2881
(606) 528-0293
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 948-0291
(561) 859-0429
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/14/2026
Last updated
04/10/2026
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