Individual
KELLIE NOWICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 DIAGNOSTIC DR, FRANKFORT, KY 40601-6556
(502) 607-8910
Mailing address
5501 SKY RIDGE RD, CHARLESTOWN, IN 47111-9042
(812) 343-5012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007236
KY
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/05/2020
Last updated
11/08/2023
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