OrganizationActive
Regional Dermatology PLLC
NPI 1255851200 · MOHS-Micrographic Surgery Physician · Lexington, KY
Provider details
- NPI number
- 1255851200
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samuel Pruden, President(859) 296-7546
- License
- 34192 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
989 Governors Ln Ste 220
Lexington, KY 40513-1175
Phone: (859) 296-7546
Fax: (859) 721-0829
Approximate (ZIP-level) locationGet directions
Mailing address
989 Governors Ln Ste 220
Lexington, KY 40513-1175
Other names (DBA / former)
- Doing business as
- Skin MD
- Doing business as
- Skin MD
- Doing business as
- Skinmd
Registry dates
- Enumerated
- 2017-06-21
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.