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Individual

FRANK A KOROLUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1250 BEN ALI DR, DANVILLE, KY 40422-8937
(859) 236-6621
(859) 238-0471
Mailing address
1250 BEN ALI DR, DANVILLE, KY 40422-8937
(859) 236-6621
(859) 238-0471

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA382
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95000352
KY
Enumeration date
06/30/2005
Last updated
05/02/2013
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