IndividualActive
Edward Elicker, MD
NPI 1780626424 · Urology Physician · Crestview Hills, KY
Provider details
- NPI number
- 1780626424
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35-03-1763 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
350 Thomas More Pkwy
Suite 200
Crestview Hills, KY 41017-5465
Phone: (859) 363-2200
Fax: (859) 363-2201
Approximate (ZIP-level) locationGet directions
Mailing address
2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Registry dates
- Enumerated
- 2006-06-10
- Last updated
- 2013-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.