OrganizationActive
Skin Group PLLC
NPI 1366564494 · MOHS-Micrographic Surgery Physician · Louisville, KY
Provider details
- NPI number
- 1366564494
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Robert Zax, President
- License
- PA1034 (KY)
Practice location
2307 River Rd Ste 101
Louisville, KY 40206-5000
Phone: (502) 583-6647
Fax: (502) 585-4824
Mailing address
Po Box 36422
Louisville, KY 40233-6422
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2024-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.