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

Skin Group PLLC

Organization MOHS-Micrographic Surgery Physician · NPI 1366564494

Skin Group PLLC is an MOHS-Micrographic Surgery Physician in Louisville, Kentucky. Works from 2 locations. Licensed in Kentucky.

Licensed in
KY
In the registry since
2007
Specialties on file
3
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

2307 River Rd Ste 101
Louisville, KY 40206-5000
Phone: (502) 583-6647
Fax: (502) 585-4824
Show map & directions

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

Additional practice locations (1)

  • 1868 W Hebron Ln Ste 200, Shepherdsville, KY 40165-7481 — (502) 583-6647

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 25359 (KY)
Physician Assistant Taxonomy 363A00000X · Licence PA1034 (KY)
Nurse Practitioner Taxonomy 363L00000X · Licence 4440P (KY)

Record details

NPI number1366564494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Zax — President · (502) 583-6647
NPI enumeratedApril 6, 2007
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing addressPo Box 36422, Louisville, KY 40233-6422

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