OrganizationActive
Associate in Dermatology and Dermatopathology PLLC
NPI 1689927576 · Dermatopathology Physician · Louisville, KY
Provider details
- NPI number
- 1689927576
- Entity type
- Organization
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lafayette Owen, Owner(812) 218-8927
- License
- 13257 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1700 Old Bluegrass Ave Ste 200
Louisville, KY 40215-1174
Phone: (502) 361-3909
Fax: (502) 361-9229
Street-level locationGet directions
Mailing address
1700 Old Bluegrass Ave Ste 200
Louisville, KY 40215-1174
Registry dates
- Enumerated
- 2012-10-17
- Last updated
- 2018-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.