Physicians Skin Care PLLC
Dermatology in Louisville, KY. Organization (NPI-2).
NPI number1750564530
StatusActive
Last updated in NPPESAug 13, 2019
Details
- NPI
- 1750564530
- Entity type
- Organization (NPI-2)
- Legal business name
- Physicians Skin Care PLLC
- Organization subpart
- No
- Enumeration date
- Dec 14, 2007
- Last updated
- Aug 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | KY | Yes |
Other names
- PLLC (Other Name)
Practice location
1169 Eastern ParkwaySuite #2310
Louisville, KY 40217
Phone 502-451-9000 · Fax 502-456-2728
Mailing address
1169 Eastern ParkwaySuit #2310
Louisville, KY 40217
Phone 502-451-9000 · Fax 502-456-2728
Authorized official
Leon Kircik
Owner Sole Proprietor
5024519000
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