Commonwealth Community Care Centers, LLC

Organization Procedural Dermatology Physician · NPI 1568094670

Commonwealth Community Care Centers, LLC is a Procedural Dermatology Physician in Prestonsburg, Kentucky. Works from 4 locations. Registered with an NPI since 2020.

In the registry since: 2020
Specialties on file: 3

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

154 N Lake Dr
Prestonsburg, KY 41653-1270
Phone: (606) 506-5093
Fax: (606) 506-5039

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

Additional practice locations (3)

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

Specialties & licences

Procedural Dermatology Physician (primary)	Taxonomy 207NS0135X
Obstetrics & Gynecology Physician	Taxonomy 207V00000X
Family Nurse Practitioner	Taxonomy 363LF0000X

Record details

NPI number	1568094670
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Yvette Wisener — Billing · (256) 258-9603
NPI enumerated	February 6, 2020
Last updated in NPPES	September 2, 2022
Certification date	September 2, 2022
Mailing address	156 North Lake Drive, Prestonburg, KY 41653