Organization · Type 2 NPI

Modern Dermatology of Kentucky LLC

Dermatology Physician · Lexington, KY

NPI number 1699382507 Active

Practice location

161 Lexington Green Cir Ste 100
Lexington, KY 40503-3801

Call (859) 276-1511 Map

Fax (859) 277-2556

Mailing address

169 Burt Rd
Lexington, KY 40503-2455

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Dermatology Physician Primary 207N00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed
Adult Health Nurse Practitioner 363LA2200XNone listed

Dermatology Physician: 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 an…

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About NPI 1699382507

Modern Dermatology of Kentucky LLC's National Provider Identifier is 1699382507, issued on Sep 24, 2020. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Lexington, KY. The record was last updated on May 21, 2026.