Provider Demographics
NPI:1407729544
Name:APHRODITE AESTHETICS LLC
Entity type:Organization
Organization Name:APHRODITE AESTHETICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMERLY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:859-797-0882
Mailing Address - Street 1:1003 CROSSROAD DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40342-9011
Mailing Address - Country:US
Mailing Address - Phone:859-797-0882
Mailing Address - Fax:502-334-0813
Practice Address - Street 1:1003 CROSSROAD DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:KY
Practice Address - Zip Code:40342-9011
Practice Address - Country:US
Practice Address - Phone:859-797-0882
Practice Address - Fax:502-334-0813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily HealthGroup - Single Specialty