Organization
WEST KENTUCKY DERMATOLOGY, PSC
Active
Other names
West Kentucky Dermatology, PSC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM F SMITH III M.D. (PRESIDENT)
(270) 821-0066
Entity
Organization
Contact information
Practice address
1000 BRECKENRIDGE ST, STE 402, OWENSBORO, KY 42303-0839
(270) 688-8060
Mailing address
1851 N MAIN ST, MADISONVILLE, KY 42431-9007
(270) 821-0066
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/16/2007
Last updated
03/15/2011
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