Individual
DR. CYNTHIA HUYCK VILLACIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 CAVALIER BLVD STE 211, FLORENCE, KY 41042-3957
(859) 905-0707
(859) 203-0853
Mailing address
3001 MAGNOLIA CT, EDGEWOOD, KY 41017-3306
(859) 905-0707
(859) 203-0853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35084433
OH
207Q00000X
Family Medicine Physician
Primary
35878
KY
207QA0401X
Addiction Medicine (Family Medicine) Physician
35.084433
OH
207QA0401X
Addiction Medicine (Family Medicine) Physician
35878
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2319226
—
OH
05
—
64049679
—
KY
Enumeration date
06/06/2006
Last updated
09/15/2024
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