Individual
ELIZABETH AUSTIN NIKOLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.E.D
Contact information
Practice address
12904 WILLOWCREEK RD, PROSPECT, KY 40059-9721
(502) 641-1558
(502) 416-1194
Mailing address
12904 WILLOWCREEK RD, PROSPECT, KY 40059-9721
(502) 641-1558
(502) 416-1194
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/14/2008
Last updated
01/20/2011
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