MEDICARE: DAVID AULICK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician	008389	KY

General Provider Information

NPI Number	:	1831851708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID AULICK

Provider Business Mailing Address
First Line	:	4708 BOCA LN
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40515-6463
Country	:	US
Telephone Number	:	859-443-7771
Fax Number	:

Provider Business Practice Location Address
First Line	:	4708 BOCA LN
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40515-6463
Country	:	US
Telephone Number	:	859-443-7771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/08/2021
Last Update Date	:	10/08/2021

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Directions to “ DAVID AULICK ” Practice Location

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