IndividualActive
Chase Wilson, M.D.
NPI 1053757641 · Dermatology Physician · Georgetown, KY
Provider details
- NPI number
- 1053757641
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 49577 (KY)
Practice location
1158 Lexington Rd
Georgetown, KY 40324-9330
Phone: (502) 316-9425
Fax: (502) 316-9451
Mailing address
Po Box 956
Georgetown, KY 40324-0956
Registry dates
- Enumerated
- 2013-05-22
- Last updated
- 2025-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.