Individual
KIMBERLY DAWN AULICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2020 NEWBURG RD, LOUISVILLE, KY 40205-1803
(502) 479-4500
(502) 479-4140
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 451-5855
(502) 479-1409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA206
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95003315
—
KY
Enumeration date
05/30/2006
Last updated
08/31/2007
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