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

Todd V Clark, MD

Individual provider Dermatology Physician · NPI 1205078664

Todd V Clark, MD is a Dermatology in Nicholasville, Kentucky. Graduated from University of Kentucky College of Medicine in 2005, 21 years ago. Practices with Central Kentucky Dermatology PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
21
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

249 E Brannon Rd
Nicholasville, KY 40356-8059
Phone: (859) 354-5455
Fax: (859) 203-8833
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 42806 (KY)

Record details

NPI number1205078664
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2009
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing address249 E Brannon Rd, Nicholasville, KY 40356-8059

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Central Kentucky Dermatology Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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