Individual
DR. DENNIS ANDRE ULRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1655 E HIGHWAY 3094, EAST BERNSTADT, KY 40729-6216
(606) 843-2339
(606) 843-6815
Mailing address
1655 E HIGHWAY 3094, PO BOX 328, EAST BERNSTADT, KY 40729-6216
(606) 843-2339
(606) 843-6815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19629
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000077248
ANTHEM, BC/BS
KY
01
—
080138185
RAILROAD MEDCARE
KY
05
—
64196298
—
KY
Enumeration date
08/09/2005
Last updated
08/03/2011
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