Graduated: 2019
NPI: 1043848468
Practice Locations (2)
MODERN DERMATOLOGY OF KENTUCKY LLC
1750 HWY 192 W, SUITE 8
LONDON, KY 407412640
8592761511
MODERN DERMATOLOGY OF KENTUCKY LLC
1098 S MAYO TRL
PIKEVILLE, KY 415011546
8592761511
Source: CMS National Downloadable File, September 2026.