KENTUCKY DERMATOLOGY CLINIC, PLLC
NPI 1770806424
Dermatology in Glasgow, KY

Active since March 09, 2010
120 STATE AVE, GLASGOW, KY 42141(917) 371-7230(636) 444-2042 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kentucky Dermatology Clinic, Pllc NPPES

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

KENTUCKY DERMATOLOGY CLINIC, PLLC (NPI 1770806424) is a healthcare organization registered as a dermatology in Glasgow, Kentucky and active in the NPI registry since March 2010. The organization lists Clemens Esche, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770806424
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameKENTUCKY DERMATOLOGY CLINIC, PLLC
Location Address120 STATE AVEGlasgow, KY 42141-1451
Mailing Address5480 Wisconsin Ave, #920Chevy Chase, MD 20815-3530 · (917) 371-7230 · Fax (636) 444-2042
Fax(636) 444-2042
Organization SubpartNo
Authorized OfficialClemens EscheCeo · (917) 371-7230
Enumeration DateMarch 9, 2010
Last NPPES UpdateJune 26, 2012
NPI 1770806424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in KY · 43075
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.
120 STATE AVE, Glasgow, KY 42141

Other Identifiers 2

Medicare PIN01464KY
Medicaid7100106910KY

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

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 Kentucky Dermatology Clinic, PLLC's NPI number?

The NPI number for Kentucky Dermatology Clinic, PLLC is 1770806424. It was assigned to this organization in the NPPES registry on March 9, 2010.

Where is Kentucky Dermatology Clinic, PLLC located?

Kentucky Dermatology Clinic, PLLC is located at 120 State Ave, Glasgow, KY 42141. The listed phone number is (917) 371-7230.

What is Kentucky Dermatology Clinic, 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 Kentucky Dermatology Clinic, PLLC was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.