IndividualActive
Johnathon Edge, MD
NPI 1114969201 · MOHS-Micrographic Surgery Physician · Owensboro, KY
Provider details
- NPI number
- 1114969201
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 39536 (KY)
Practice location
2200 E Parrish Ave
Bldg E Suite 205
Owensboro, KY 42303-1449
Phone: (270) 852-1645
Fax: (270) 852-1646
Mailing address
2200 E Parrish Ave
Owensboro, KY 42303-1449
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2010-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.