Individual
NICHOLAS UTCHAN AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 S JACKSON ST, LOUISVILLE, KY 40202-1622
(502) 588-4521
(502) 588-9542
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
58613
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221339
UNISON
OH
01
—
000000503699
ANTHEM
OH
05
—
2536572
—
OH
05
—
300081605
—
IN
01
—
363304
WELLCARE
OH
05
—
7100784450
—
KY
01
—
735540
BUCKEYE
OH
01
—
7858409
AETNA
—
01
—
P00219603
RAILROAD MEDICARE
OH
01
—
P00353696
RAILROAD MEDICARE
OH
Enumeration date
07/17/2006
Last updated
10/05/2023
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