Healthcare Provider Details

I. General information

NPI: 1891473351
Provider Name (Legal Business Name): EMMA J UHLS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 GREENUP ST
COVINGTON KY
41011-2551
US

IV. Provider business mailing address

4013 SAINT GERMAINE CT
LOUISVILLE KY
40207-3809
US

V. Phone/Fax

Practice location:
  • Phone: 859-349-0700
  • Fax:
Mailing address:
  • Phone: 502-797-2244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number279889
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: