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Central Kentucky Dermatology Pllc

Dermatology Physician in Nicholasville, KY · enumerated 2022 · authorized official Todd Clark, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124741780

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Registry record

Entity type Organization (Type 2)
Legal business name Central Kentucky Dermatology Pllc
Practice address 249 E Brannon Rd, Nicholasville, KY, 40356
Phone (859) 354-5455
Fax (859) 203-8833
Enumeration date Sep 20, 2022
Last updated in NPPES Jul 10, 2025

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Todd Clark
Title Medical Director
Phone (859) 608-9917

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Central Kentucky Dermatology Pllc?
The NPI for Central Kentucky Dermatology Pllc is 1124741780, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Central Kentucky Dermatology Pllc?
NPPES lists Todd Clark (Medical Director) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-10.