Individual
ANTOLIN JULIAN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
727 HOSPITAL DR, SHELBYVILLE, KY 40065-1660
(502) 647-4085
(502) 647-4098
Mailing address
308 LONGVIEW PARK PL, LOUISVILLE, KY 40245-6217
(502) 489-9472
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28835
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200902390A
—
IN
05
—
7100046920
—
KY
Enumeration date
10/27/2006
Last updated
05/01/2019
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