Individual
NICHOLAS CHARLES ELWERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2050 VERSAILLES RD, STE U102, LEXINGTON, KY 40504
(859) 257-4888
(859) 323-1123
Mailing address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 257-4890
(859) 323-1123
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
04943
KY
208100000X
Physical Medicine & Rehabilitation Physician
R4413
KY
Other
Enumeration date
03/23/2017
Last updated
06/14/2021
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