West Kentucky Dermatology, Psc
Dermatology in Hopkinsville, KY. Organization (NPI-2).
NPI number1053536037
StatusActive
Last updated in NPPESOct 7, 2008
Details
- NPI
- 1053536037
- Entity type
- Organization (NPI-2)
- Legal business name
- West Kentucky Dermatology, Psc
- Organization subpart
- No
- Enumeration date
- Apr 16, 2007
- Last updated
- Oct 7, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Other names
- West Kentucky Dermatology, Psc (Doing Business As)
Practice location
1102 S Virginia StHopkinsville, KY 42240-3579
Phone 270-707-1160 · Fax 270-881-9001
Mailing address
1851 N Main StMadisonville, KY 42431-9007
Phone 270-821-0066 · Fax 270-821-6580
Authorized official
William F Smith
President
2708210066
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