Individual
DYLAN MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2195 HARRODSBURG RD STE 2, LEXINGTON, KY 40504-3516
(859) 323-3376
(859) 323-0350
Mailing address
2195 HARRODSBURG RD STE 2, LEXINGTON, KY 40504-3516
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
33819
WV
207N00000X
Dermatology Physician
Primary
TP695
KY
207ND0900X
Dermatopathology Physician
33819
WV
Other
Enumeration date
03/19/2019
Last updated
10/29/2025
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