KENNETH J ULICNY

SHREVEPORT, LA
NPI1275094476
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: VA  0101278328)
Enumeration Date2019-03-29
Last Update Date2024-02-14
Business Address
KENNETH J ULICNY MD
1541 KINGS HIGHWAY ANESTHESIOLOGY
SHREVEPORT, LA 71130-3932
Phone number: 318-626-4041
Mailing Address
KENNETH J ULICNY MD
2613 ATLANTIC AVE APT 604
VIRGINIA BEACH, VA 23451-3179
Phone number: 337-200-1933