Organization
ADVANCED DERMATOTLOGY ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE V BREY M.D. (OWNER)
(270) 852-1645
Entity
Organization
Contact information
Practice address
2915 NEW HARTFORD RD, OWENSBORO, KY 42303-1323
(270) 852-1645
(270) 852-1646
Mailing address
2915 NEW HARTFORD RD, OWENSBORO, KY 42303-1323
(270) 852-1645
(270) 852-1646
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
02/24/2015
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