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Destiny Etheridge, MD
Family Medicine Physician in Louisville, Kentucky
NPI 1871099002

Destiny Etheridge is a Family Medicine Physician based in Louisville, KY. Destiny Etheridge practices in Louisville, KY and has the professional credentials of MD. The NPI Number for Destiny Etheridge is 1871099002 and holds a License No. TP282 (Kentucky).

The current practice location address for Destiny Etheridge is 1720 W Broadway Ste 107, Louisville, KY and can be reached out via phone at 502-340-5900.

Location: 1720 W Broadway Ste 107, Louisville, KY, 40203-3607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871099002
Provider Name
Destiny Etheridge
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1720 W Broadway Ste 107, Louisville, KY, 40203-3607
Phone Number
502-340-5900
Fax Number
Provider Enumeration Date
04/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1720 W Broadway Ste 107
City
Louisville
State
Kentucky
Zip
40203-3607
Phone Number
502-340-5900
Fax Number
person
Provider Business Mailing Address Details
Address
1720 W Broadway Ste 107
City
Louisville
State
Kentucky
Zip
40203-3607
Phone Number
502-340-5900
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
55932 (Kentucky)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
TP282 (Kentucky)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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