OrganizationActive
Bluegrass Dermatology, PLLC
NPI 1881740884 · Dermatology Physician · Paducah, KY
Provider details
- NPI number
- 1881740884
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Douglas Wilson, Owner(270) 443-7546
- License
- 36202 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4616 Village Square Drive
Paducah, KY 42001-7501
Phone: (270) 443-7546
Fax: (270) 443-4002
Approximate (ZIP-level) locationGet directions
Mailing address
4616 Village Square Drive
Paducah, KY 42001-7501
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2011-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.