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Dr. Alexia Louise Bodamer, DPM
Student in an Organized Health Care Education/Training Program in Lousiville, Kentucky
NPI 1780212688

Alexia Louise Bodamer is a Student in an Organized Health Care Education/Training Program based in Brunswick, KY. Alexia Louise Bodamer practices in Lousiville, KY and has the professional credentials of DPM. The NPI Number for Alexia Louise Bodamer is 1780212688 and holds a License No. 263356 (Kentucky).

The current practice location address for Alexia Louise Bodamer is 142 Chenoweth Lane, Lousiville, KY and can be reached out via phone at 502-897-1616.

Location: 142 Chenoweth Lane, Lousiville, KY, 31520-4268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780212688
Provider Name
Alexia Louise Bodamer
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
142 Chenoweth Lane, Lousiville, KY, 31520-4268
Phone Number
502-897-1616
Fax Number
Provider Enumeration Date
03/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
142 Chenoweth Lane
City
Lousiville
State
Kentucky
Zip
40207
Phone Number
502-897-1616
Fax Number
person
Provider Business Mailing Address Details
Address
142 Chenoweth Lane
City
Lousiville
State
Kentucky
Zip
40207
Phone Number
502-897-1616
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
263356 (Kentucky)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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