Individual
MS. NICOLE L. WEBER-KULWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2245 WINCHESTER AVE, ASHLAND, KY 41101-7848
(606) 408-2600
(606) 408-2603
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-2600
(606) 408-2603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
127235-030
WI
363L00000X
Nurse Practitioner
127235
WI
363L00000X
Nurse Practitioner
Primary
3006307
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3055652
—
OH
05
—
36055300
—
WI
05
—
3810017359
—
WV
05
—
7100110070
—
KY
Enumeration date
08/27/2007
Last updated
03/29/2011
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