Dermatology Associates of Kentucky Psc

NPI #1174692610 in Lexington, Kentucky

Provider Information

NPI Number: 1174692610
Entity Type: Organization
Organization Name: Dermatology Associates of Kentucky Psc
Primary Specialty: Dermatology
Enumeration Date: Nov 7, 2006
Last Updated: Jan 7, 2011

Practice Location

Address: 250 FOUNTAIN CT
City: Lexington
State: Kentucky
ZIP Code: 40509-1888
Phone: (859) 263-4444

Authorized Official

Name: DR. FERNANDO DE CASTRO, M.D.
Title: MANAGING PARTNER
Phone: (859) 263-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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