institution
Skin Group Pllc
Nurse Practitioner in Louisville, Kentucky
NPI 1366564494

Skin Group Pllc is a Nurse Practitioner based in Louisville, KY. Skin Group Pllc practices in Louisville, KY. The NPI Number for Skin Group Pllc is 1366564494 and holds a License No. 25359 (Kentucky).

The current practice location address for Skin Group Pllc is 2307 River Rd Ste 101, Louisville, KY and can be reached out via phone at 502-583-6647 and via fax at 502-585-4824.

Location: 2307 River Rd Ste 101, Louisville, KY, 40233-6422
institution
Provider Profile Details
NPI Number
1366564494
Provider Name
Skin Group Pllc
Credential
Provider Entity Type
Organization
Address
2307 River Rd Ste 101, Louisville, KY, 40233-6422
Phone Number
502-583-6647
Fax Number
502-585-4824
Provider Enumeration Date
04/06/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
78904968 05 KY
DA0326 01 KY RR MCR
18D0934789 01 KY CLIA NUMBER
65938797 05 KY
institution
Provider Business Practice Location Address Details
Address
2307 River Rd Ste 101
City
State
Zip
40206-5000
Phone Number
502-583-6647
Fax Number
502-585-4824
person
Provider Business Mailing Address Details
Address
2307 River Rd Ste 101
City
State
Zip
40206-5000
Phone Number
502-583-6647
Fax Number
502-585-4824
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
MOHS-Micrographic Surgery
Taxonomy
License No.
4440P (Kentucky)
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
PA1034 (Kentucky)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
25359 (Kentucky)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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