Individual
MRS. JULIE HORNBACH FUNK
Active
Individual
MRS. JULIE HORNBACH FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
TC642
KY
363AM0700X
Medical Physician Assistant
Primary
10001379A
IN
363AM0700X
Medical Physician Assistant
TC642
KY
Other
Enumeration date
05/08/2012
Last updated
09/28/2018
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