Healthcare Provider Details

I. General information

NPI: 1265368708
Provider Name (Legal Business Name): PSORIASIS AND ECZEMA CENTERS OF KENTUCKY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 S HIGHWAY 27
SOMERSET KY
42501-3517
US

IV. Provider business mailing address

PO BOX 109
SOMERSET KY
42502-0109
US

V. Phone/Fax

Practice location:
  • Phone: 606-648-7274
  • Fax:
Mailing address:
  • Phone: 606-648-7274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY LONESKY
Title or Position: OWNER
Credential: DO
Phone: 606-648-7274