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Individual

JULIE L VILLARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 MEDICAL VILLAGE DR, EMERGENCY DEPARTMENT, EDGEWOOD, KY 41017-3403
(859) 572-3617
(859) 572-2326
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(859) 572-3617
(859) 572-2326

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125051486
IL
207P00000X
Emergency Medicine Physician
Primary
42484
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200965010
IN
05
2997557
OH
05
7100080860
KY
Enumeration date
03/13/2009
Last updated
07/30/2015
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