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

Louisville Dermatology ASC PSC

Organization Dermatology Physician · NPI 1669539789

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

In the registry since
2007
Specialties on file
2
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

1700 Bluegrass Ave Ste 300
Louisville, KY 40215
Phone: (502) 363-1841
Fax: (502) 366-3317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1669539789
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Logsdon — Dermatologist Owner · (502) 363-1841
NPI enumeratedJanuary 2, 2007
Last updated in NPPESDecember 2, 2013
Mailing address1700 Bluegrass Avenue, Suite 300, Louisville, KY 40215

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