Healthcare Provider Details

I. General information

NPI: 1992701320
Provider Name (Legal Business Name): DERMATOLOGY CONSULTANTS, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 HARRODSBURG RD
LEXINGTON KY
40504-3329
US

IV. Provider business mailing address

2405 HARRODSBURG RD
LEXINGTON KY
40504-3329
US

V. Phone/Fax

Practice location:
  • Phone: 859-278-9492
  • Fax: 859-277-3027
Mailing address:
  • Phone: 859-278-9492
  • Fax: 859-277-3027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIKA N MUSIC
Title or Position: OWNER CEO
Credential: M.D.
Phone: 859-278-9492