CENTRAL KENTUCKY DERMATOLOGY PLLC
NPI 1124741780
Dermatology in Nicholasville, KY

Active since September 20, 2022
249 E BRANNON RD, NICHOLASVILLE, KY 40356(859) 354-5455(859) 203-8833 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Jan 12, 2023, Oct 24, 2022 and 2 more (5 updates tracked since 2022).

About Central Kentucky Dermatology Pllc NPPES

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

CENTRAL KENTUCKY DERMATOLOGY PLLC (NPI 1124741780) is a healthcare organization registered as a dermatology in Nicholasville, Kentucky and active in the NPI registry since September 2022. The organization lists Todd Clark, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1124741780
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCENTRAL KENTUCKY DERMATOLOGY PLLC
Location Address249 E BRANNON RDNicholasville, KY 40356-8059
Mailing Address249 E Brannon RdNicholasville, KY 40356-8059 · (859) 354-5455 · Fax (859) 203-8833
Fax(859) 203-8833
Organization SubpartNo
Authorized OfficialTodd ClarkMedical Director · (859) 608-9917
Enumeration DateSeptember 20, 2022
Last NPPES UpdateJuly 10, 20255 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1124741780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedPhysician AssistantTaxonomy 363A00000X
249 E BRANNON RD, Nicholasville, KY 40356

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Dermatology
249 E BRANNON RD
NICHOLASVILLE, KY 40356
Physician Assistant
249 E BRANNON RD
NICHOLASVILLE, KY 40356

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 Central Kentucky Dermatology PLLC's NPI number?

The NPI number for Central Kentucky Dermatology PLLC is 1124741780. It was assigned to this organization in the NPPES registry on September 20, 2022.

Where is Central Kentucky Dermatology PLLC located?

Central Kentucky Dermatology PLLC is located at 249 E Brannon Rd, Nicholasville, KY 40356. The listed phone number is (859) 354-5455.

What is Central Kentucky Dermatology PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Central Kentucky Dermatology PLLC was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.