Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charleston Dermatology PLLC

Organization Dermatology Physician · NPI 1619623972

Charleston Dermatology PLLC is a Dermatology Physician in Charleston, West Virginia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4502 Maccorkle Ave SE Ste A
Charleston, WV 25304-1835
Phone: (304) 925-5500
Fax: (304) 925-6780
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1619623972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Skaff — Owner · (304) 925-5500
NPI enumeratedFebruary 25, 2022
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022
Mailing address4502 Maccorkle Ave Se Ste A, Charleston, WV 25304-1835

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