WEST KENTUCKY DERMATOLOGY, PSC
NPI 1053536037
Dermatology in Hopkinsville, KY

Active since April 16, 2007CLIA 18D0994891 · Microscopy
1102 S VIRGINIA ST, HOPKINSVILLE, KY 42240(270) 707-1160(270) 881-9001 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About West Kentucky Dermatology, Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST KENTUCKY DERMATOLOGY, PSC (NPI 1053536037) is a healthcare organization registered as a dermatology in Hopkinsville, Kentucky and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through March 5, 2027 and lists William F Smith, President, as its authorized official.

NPPES Registry Identity

NPI1053536037
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWEST KENTUCKY DERMATOLOGY, PSC
Location Address1102 S VIRGINIA STHopkinsville, KY 42240-3579
Mailing Address1851 N Main StMadisonville, KY 42431-9007 · (270) 821-0066 · Fax (270) 821-6580
Fax(270) 881-9001
Organization SubpartNo
Authorized OfficialWilliam F SmithPresident · (270) 821-0066
Enumeration DateApril 16, 2007
Last NPPES UpdateOctober 7, 2008
NPI 1053536037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1102 S VIRGINIA ST, Hopkinsville, KY 42240

Other Names 1

Doing Business AsWest Kentucky Dermatology, Psc

Other Identifiers 3

Medicare ID-Type Unspecified9693KY
Medicare ID-Type Unspecified9518KY
Medicare ID-Type Unspecified9519KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 18D0994891

West Kentucky Dermatology · Madisonville, KY
Active · expires Mar 5, 2027
CLIA Number18D0994891
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorDr. William F. Smith
Laboratory Phone(270) 821-0066
Laboratory LocationWest Kentucky Dermatology95 Ymca Drive, Madisonville, KY 42431
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240
Clinic/Center (Federally Qualified Health Center (FQHC))
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240
Nurse Practitioner (Family)
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240
Clinical Nurse Specialist (Adult Health)
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240
Social Worker (Clinical)
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240
Family Medicine
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240
Physician Assistant
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240
Internal Medicine (Gastroenterology)
1102 S VIRGINIA ST
HOPKINSVILLE, KY 42240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Kentucky Dermatology, Psc's NPI number?

The NPI number for West Kentucky Dermatology, Psc is 1053536037. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is West Kentucky Dermatology, Psc located?

West Kentucky Dermatology, Psc is located at 1102 S Virginia St, Hopkinsville, KY 42240. The listed phone number is (270) 707-1160.

What is West Kentucky Dermatology, Psc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does West Kentucky Dermatology, Psc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 18D0994891) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Kentucky Dermatology, Psc was last updated on October 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.