Healthcare Provider Details

I. General information

NPI: 1528221801
Provider Name (Legal Business Name): JULIE ELIZABETH ATKINSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 HIGH ST (BOYLE COUNTY COMPREHENSIVE CARE CENTER)
DANVILLE KY
40422-1235
US

IV. Provider business mailing address

650 HIGH ST (BOYLE COUNTY COMPREHENSIVE CARE CENTER)
DANVILLE KY
40422-1235
US

V. Phone/Fax

Practice location:
  • Phone: 859-236-2726
  • Fax:
Mailing address:
  • Phone: 859-236-2726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number42318
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number42318
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: