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Regional Dermatology Pllc

MOHS-Micrographic Surgery Physician in Lexington, KY · enumerated 2017 · authorized official Samuel Pruden, President.

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

National Provider Identifier

1255851200

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Registry record

Entity type Organization (Type 2)
Legal business name Regional Dermatology Pllc
Other name <Unavail>
Practice address 989 Governors Ln Ste 220, Lexington, KY, 40513
Phone (859) 296-7546
Fax (859) 721-0829
Enumeration date Jun 21, 2017
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License 34192 (KY) Primary
207ND0900X Dermatopathology Physician Allopathic & Osteopathic Physicians · License 34192 (KY) Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians · License 34192 (KY) Secondary
208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians · License 34192 (KY) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Samuel Pruden
Title President
Phone (859) 296-7546

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

Where is Regional Dermatology Pllc located?
The practice location on file with NPPES is in Lexington, KY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.