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

Skinmd

Organization Dermatology Physician · NPI 1629497714

Skinmd is a Dermatology Physician in Lexington, Kentucky. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2

Practice location Address checks out

989 Governors Ln Ste 220
Lexington, KY 40513-1173
Phone: (859) 296-7546
Fax: (513) 672-3323
Show map & directions

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

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X
Dermatology Physician Taxonomy 207N00000X

Record details

NPI number1629497714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Pruden — President · (859) 276-7546
NPI enumeratedApril 16, 2014
Last updated in NPPESJuly 16, 2014
Mailing address200 Northland Blvd, 1st Floor, Cincinnati, OH 45246-3604

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