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

Elkhorn Dermatology PLLC

Organization Dermatology Physician · NPI 1841722980

Elkhorn Dermatology PLLC is a Dermatology Physician in Georgetown, Kentucky. Licensed in Kentucky. Registered with an NPI since 2017.

Licensed in
KY
In the registry since
2017
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

304 Boston Sq
Georgetown, KY 40324-9786
Phone: (502) 316-9425
Fax: (502) 316-9451
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Dermatology Physician Taxonomy 207N00000X · Licence 49577 (KY)
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1841722980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chase Wilson — Owner · (502) 316-9425
NPI enumeratedMarch 29, 2017
Last updated in NPPESAugust 24, 2020
Certification dateAugust 24, 2020
Mailing address304 Boston Sq, Georgetown, KY 40324-9786

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