Organization
KY DERMATOLOGY & SKIN CANCER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFTON SMITH MD (OWNER)
(859) 276-1511
Entity
Organization
Contact information
Practice address
1750 HIGHWAY 192 W, LONDON, KY 40741-2639
(859) 276-1511
(859) 276-3373
Mailing address
177 BURT RD, LEXINGTON, KY 40503-2457
(859) 276-1511
(859) 276-3373
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207N00000X
Dermatology Physician
—
—
Other
Enumeration date
03/13/2008
Last updated
08/21/2020
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