Individual
AHYAUNA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S 4TH ST, LOUISVILLE, KY 40203-2188
(502) 585-9911
Mailing address
901 S 4TH ST, LOUISVILLE, KY 40203-3205
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
1169511
KY
Other
Enumeration date
06/13/2026
Last updated
06/13/2026
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