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

Vitale Dermatology PLLC

Organization Nurse Practitioner · NPI 1245191915

Vitale Dermatology PLLC is a Nurse Practitioner in Winchester, Kentucky. Registered with an NPI since 2025.

In the registry since
2025
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

505 Shoppers Dr Ste 1
Winchester, KY 40391-2808
Phone: (606) 359-1562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1245191915
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Smallwood — Ceo · (859) 740-3376
NPI enumeratedNovember 20, 2025
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address505 Shoppers Dr Ste 1, Winchester, KY 40391-2808

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