Organization Name: | DOCTORS PLLC |
NPI Number: | 1174675763 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HARIKLIA ALEXATOS WILK (OWNER) |
Mailing Address: | 111 N Woodland Drive Radcliff |
State: | KY US |
Postal Code: | 40160 |
Phone Number: | 2703516036 |
Fax Number: | 2703516042 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 01/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 32654 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |