Organization · Type 2 NPI

Commonwealth Community Care Centers, LLC

Procedural Dermatology Physician · Prestonsburg, KY

NPI number 1568094670 Active

Practice location

154 N Lake Dr
Prestonsburg, KY 41653-1270

Fax (606) 506-5039

Mailing address

156 North Lake Drive
Prestonburg, KY 41653

Other practice locations

  • 2008 Merchant Dr, Richmond, KY 40475-8188 · (606) 263-4283
  • 4010 Dupont Cir Ste 370, Louisville, KY 40207-4881 · (606) 263-4283
  • 601 N Shore Dr Ste 203, Jeffersonville, IN 47130-3145 · (606) 263-4283

Specialties and licenses

TaxonomyCodeLicense
Procedural Dermatology Physician Primary 207NS0135XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Procedural Dermatology Physician: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special t…

2 other providers at this address

About NPI 1568094670

Commonwealth Community Care Centers, LLC's National Provider Identifier is 1568094670, issued on Feb 6, 2020. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Prestonsburg, KY. The record was last updated on Sep 2, 2022.