Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COMMONWEALTH COMMUNITY CARE CENTERS, LLC
Active OrganizationProcedural Dermatology · PRESTONSBURG, KY
Registration Details
- NPI Number
- 1568094670
- Provider Type
- Organization
- NPI Issued
- Feb 6, 2020 (6.2048515675653 yrs)
- Last Updated
- Sep 2, 2022
Practice Information
- Address
-
154 N LAKE DRPRESTONSBURG, KY, 416531270Browse KY providers · Browse ZIP 41653
- Phone
- 6065065093
- Fax
- 6065065039
- Primary Specialty
-
Procedural Dermatology
207NS0135X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- Procedural Dermatology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.