Elkhorn Dermatology Pllc

NPI #1841722980 in Georgetown, Kentucky

Provider Information

NPI Number: 1841722980
Entity Type: Organization
Organization Name: Elkhorn Dermatology Pllc
Primary Specialty: Dermatology
Enumeration Date: Mar 29, 2017
Last Updated: Aug 24, 2020

Practice Location

Address: 304 BOSTON SQ
City: Georgetown
State: Kentucky
ZIP Code: 40324-9786
Phone: (502) 316-9425

Authorized Official

Name: CHASE WILSON, MD
Title: OWNER
Phone: (502) 316-9425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary
Nurse Practitioner	363L00000X

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