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NPI 1124741780

OrganizationActive

Central Kentucky Dermatology PLLC

NPI 1124741780 · Dermatology Physician · Nicholasville, KY

Provider details

NPI number: 1124741780
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Todd Clark, Medical Director

Practice location

249 E Brannon Rd

Nicholasville, KY 40356-8059

Phone: (859) 354-5455

Fax: (859) 203-8833

More KY providers

Mailing address

249 E Brannon Rd

Nicholasville, KY 40356-8059

Registry dates

Enumerated: 2022-09-20
Last updated: 2025-07-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Central Kentucky Dermatology PLLC — NPI 1124741780, Nicholasville, KY | NPI Central