Dermatology Center Of Lake Cumberland, Psc in Somerset - Clinical & Laboratory Dermatological Immunology
Dermatology Center Of Lake Cumberland, Psc - NPI 1477639243
Dermatology Center Of Lake Cumberland, Psc is a Clinical & Laboratory Dermatological Immunology in Somerset, Kentucky. Dermatology Center Of Lake Cumberland, Psc practices all healthcare services and medical treatments related to Clinical & Laboratory Dermatological Immunology. The NPI Number for Dermatology Center Of Lake Cumberland, Psc is 1477639243. The last update date is 2013-03-11.
Dermatology Center Of Lake Cumberland, Psc's current location address is 120 Tradepark Dr, Somerset, Kentucky. You can contact this provider via phone number 6066799292 and fax number 6066799294. The mailing address for Dermatology Center Of Lake Cumberland, Psc is 120 Tradepark Dr, Somerset, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dermatology Center Of Lake Cumberland, Psc |
|---|---|
| Address | 120 Tradepark Dr, Somerset, Kentucky |
| Phone Number | 6066799292 |
| Fax Number | 6066799294 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN/ |
|---|---|
| Authorized Official Name | Bentley Teresa |
| Credentials | M.D. |
| Telephone Number | 6066799292 |
NPI Number Detail
| NPI Number | 1477639243 |
|---|---|
| Provider Enumeration Date | 2006-10-27 |
| Last Updated Date | 2013-03-11 |
Provider Mailing Address Detail
| Address | 120 Tradepark Dr |
|---|---|
| City | Somerset |
| State | Kentucky (KY) |
| Post Code | 425033454 |
| Phone Number | 6066799292 |
| Fax Number | 6066799294 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical & Laboratory Dermatological Immunology |
|---|---|
| Taxonomy | 207Ni0002X |
|
Definition: A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 59419 | ANTHEM BLUE CROSS | ||
| 65922262 | KY | -- | |
| CA3970 | PALMETTOGBARAILROAD MEDIC |
Post Comment/ Review Below
What is the Dermatology Center Of Lake Cumberland, Psc's 1477639243?
The Dermatology Center Of Lake Cumberland, Psc's NPI (National Provider Identifier) Number is 1477639243. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Dermatology Center Of Lake Cumberland, Psc is physically located?
The Dermatology Center Of Lake Cumberland, Psc is situated at the following address: 120 Tradepark Dr, Somerset, KY 425033454.
What is Dermatology Center Of Lake Cumberland, Psc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dermatology Center Of Lake Cumberland, Psc is Clinical & Laboratory Dermatological Immunology, and the taxonomy code that categorizes this field of expertise is 207Ni0002X.
On what date was the 1477639243 assigned to Dermatology Center Of Lake Cumberland, Psc?
The Dermatology Center Of Lake Cumberland, Psc was issued its 1477639243 on 2006-10-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Dermatology Center Of Lake Cumberland, Psc most recently updated or revised?
The information pertaining to Dermatology Center Of Lake Cumberland, Psc, including its address, specialty, and other relevant details, was last updated or revised on 2013-03-11.