Individual
LARRY ROBERT ULLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
601 PERIMETER DR, SUITE 200, LEXINGTON, KY 40517-4121
(859) 323-5533
(859) 257-0168
Mailing address
3817 KITTIWAKE DR, LEXINGTON, KY 40517-3835
(859) 245-0768
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT195
KY
Other
Enumeration date
04/13/2006
Last updated
01/19/2010
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