OrganizationActive
Elkhorn Dermatology PLLC
NPI 1841722980 · Dermatology Physician · Georgetown, KY
Provider details
- NPI number
- 1841722980
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chase Wilson, Owner(502) 316-9425
- License
- 49577 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
304 Boston Sq
Georgetown, KY 40324-9786
Phone: (502) 316-9425
Fax: (502) 316-9451
Approximate (ZIP-level) locationGet directions
Mailing address
304 Boston Sq
Georgetown, KY 40324-9786
Registry dates
- Enumerated
- 2017-03-29
- Last updated
- 2020-08-24
- Certified
- 2020-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.