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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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