Provider Demographics
NPI:1760797625
Name:DERMATOLOGY CONSULTANTS, P.S. C.
Entity Type:Organization
Organization Name:DERMATOLOGY CONSULTANTS, P.S. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BARK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-278-9492
Mailing Address - Street 1:1401 HARRODSBURG RD
Mailing Address - Street 2:SUITE C415
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3751
Mailing Address - Country:US
Mailing Address - Phone:859-278-9492
Mailing Address - Fax:859-277-3027
Practice Address - Street 1:351 RADIO PARK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2454
Practice Address - Country:US
Practice Address - Phone:859-263-4241
Practice Address - Fax:859-624-4417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty