Individual
KARALEE ANN MLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
740 SOUTH LIMESTONE, K401, LEXINGTON, KY 40536-0284
(859) 323-5533
(859) 323-2412
Mailing address
740 SOUTH LIMESTONE K401, LEXINGTON, KY 40536-0284
(859) 323-5533
(859) 323-2412
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
3014780
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
3014780
KY
Other
Enumeration date
09/01/2020
Last updated
05/12/2021
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