KY DERMATOLOGY & SKIN CANCER (NPI# 1659542058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659542058 |
| Entity Type | Organization |
| Organization Name | KY DERMATOLOGY & SKIN CANCER |
| Practice Address |
1750 Highway 192 W London KY 40741-2639 |
| Mailing Address |
177 Burt Rd Lexington KY 40503-2457 |
| Practice Telephone | 8592761511 |
| Practice Fax Number | 8592763373 |
| Mailing Telephone | 8592761511 |
| Mailing Fax Number | 8592763373 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | DR. CLIFTON SMITH (OWNER) |
| Authorized Official Telephone | 8592761511 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1750 HIGHWAY 192 W |
| City | LONDON |
| State | KY |
| Zip Code | 40741-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740652569 | Kyle Daniel Brown | Chiropractor | 1750 Highway 192 W, Suite 4, London, KY 40741-2639 | 2015-10-21 |
| 1952742017 | Jeremy Gonsowski | Chiropractor | 1750 Highway 192 W, Suite 4, London, KY 40741-2639 | 2013-07-17 |
| 1760821821 | Chiropractic Health Solutions of London, LLC | Chiropractor | 1750 Highway 192 W, Suite #4, London, KY 40741-2639 | 2013-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376953331 | Cristin Acciardo | Specialist | 3033 Clear Springs Dr, London, KY 40744-8111 | 2014-04-30 |
| 1851627343 | Elizabeth Sue Walden | Specialist | 220 Pawnee Trl, London, KY 40741-4032 | 2009-10-19 |
| 1063468114 | Shelby N Katz | Specialist | 740 E Laurel Rd, London, KY 40741-8601 | 2006-05-26 |
| 1659336337 | Vinay Kumar Chitkara | Specialist | 136 E High St, London, OH 43140-1229 | 2006-04-18 |
| 1093704215 | Vivente Budy Santelices | Specialist | 101 Villas Ct, Apt # 1, London, KY 40741-5001 | 2005-10-20 |
| 1154584613 | Melinda D Morgan | Specialist | 3104 Pine Top Rd, London, KY 40741-6202 | 2008-07-04 |
| 1679735872 | American Rehab Allianace, Inc | Specialist | 3104 Pine Top Rd, London, KY 40741-6202 | 2008-06-28 |
| 1205098407 | Quintilla Rena Leddington | Specialist | 3104 Pine Top Rd, London, KY 40741-6202 | 2008-06-28 |
| 1831351030 | John Jones | Specialist | 3104 Pine Top Rd, London, KY 40741-6202 | 2008-06-28 |
| 1508024738 | Cumberland Outpatient Rehab | Specialist | 1380 Highway 192 E, London, KY 40741-3123 | 2008-05-23 |
| Find all providers in LONDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.