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

East Louisville Dermatology, PSC

Organization Dermatology Physician · NPI 1255468872

East Louisville Dermatology, PSC is a Dermatology Physician in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2007.

Licensed in
KY
In the registry since
2007
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4912 US Highway 42 Ste 208
Louisville, KY 40222-6349
Phone: (502) 426-9565
Fax: (502) 425-3240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 24086 (KY)

Record details

NPI number1255468872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terrie Williams — President · (502) 426-9565
NPI enumeratedFebruary 28, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4912 Us Highway 42, Suite 208, Louisville, KY 40222-6349

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