Individual
JULIE T. ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3950 KRESGE WAY STE 303, LOUISVILLE, KY 40207-4637
(502) 928-5000
(502) 928-5001
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35764
KY
Other
Enumeration date
06/08/2006
Last updated
12/04/2020
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