Organization
DERMATOLOGY CENTER OF OWENSBORO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSEY M VESSELS M.D. (OWNER)
(270) 663-1078
Entity
Organization
Contact information
Practice address
2200 E PARRISH AVE, BLD E STE 205, OWENSBORO, KY 42303-1449
(270) 663-1078
Mailing address
2200 E PARRISH AVE, BLD E STE 205, OWENSBORO, KY 42303-1449
(270) 663-1078
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
45100
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45100
MEDICAL LICENSE
KY
Enumeration date
02/15/2015
Last updated
03/25/2015
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