Individual
KARL STEPHEN ULICNY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017
(859) 301-9010
(859) 301-9018
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-9010
(859) 301-9018
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
29615
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0728752
—
OH
05
—
200046180
—
IN
05
—
64932783
—
KY
Enumeration date
04/27/2006
Last updated
11/04/2021
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