Provider Demographics
NPI:1396547790
Name:CONKLIN, AUBRIANA ROSE (LPA)
Entity type:Individual
Prefix:MRS
First Name:AUBRIANA
Middle Name:ROSE
Last Name:CONKLIN
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1028 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-1315
Mailing Address - Country:US
Mailing Address - Phone:502-647-2477
Mailing Address - Fax:
Practice Address - Street 1:1028 MAIN ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-1315
Practice Address - Country:US
Practice Address - Phone:502-647-2477
Practice Address - Fax:502-466-3204
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist