Organization
THE SKIN GROUP PLLC
Active
Other names
The Skin Group PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA WINNETT (OFFICE MANAGER)
(502) 583-6647
Entity
Organization
Contact information
Practice address
2307 RIVER RD STE 101, LOUISVILLE, KY 40206-5000
(503) 583-6647
Mailing address
2307 RIVER RD STE 101, LOUISVILLE, KY 40206-5000
(502) 583-6647
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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