OrganizationActive
Dermatopathology Consultants of Kentucky PLLC
NPI 1023409612 · Dermatopathology Physician · Louisville, KY
Provider details
- NPI number
- 1023409612
- Entity type
- Organization
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tj Burch, Office Manager(502) 495-1162
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2307 Greene Way Ste a
Louisville, KY 40220-4097
Phone: (502) 806-3376
Fax: (502) 495-0156
Approximate (ZIP-level) locationGet directions
Mailing address
2307 Greene Way Ste C
Louisville, KY 40220-4097
Other names (DBA / former)
- Doing business as
- Family Dermatology
Registry dates
- Enumerated
- 2015-02-18
- Last updated
- 2024-09-20
- Certified
- 2024-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.