Destiny Etheridge MD

  • NPI 1871099002
According to our database, the NPI number for Destiny Etheridge MD is 1871099002 and activated since 6 years ago. Destiny Etheridge MD is an individual provider who specializes in Family Medicine, and the primary practice location is 1720 W Broadway Ste 107, Louisville, KY 40203. You can also contact Destiny Etheridge MD via telephone number is (502) 340-5900. Provider NPI information was last updated on 08/06/2021.

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Overview of Destiny Etheridge MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 04/05/2018
  • Last updated: 08/06/2021

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: TP282
  • License State: KY

Provider Mailing Address

  • Address: 6626 E 75th St Ste 500
    Indianapolis, IN 46250
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 1720 W Broadway Ste 107
    Louisville, KY 40203
  • Phone: 502-340-5900
  • Fax:

Scope of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: 11020169A
  • License State: IN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Destiny Etheridge MD?
  • A: The npi number for Destiny Etheridge MD is 1871099002.
  • Q: What are Destiny Etheridge MD's specialties?
  • A: Destiny Etheridge MD's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Destiny Etheridge MD?
  • A: The medical license number for Destiny Etheridge MD is TP282 and issued in KY in USA.
  • Q: Where is Destiny Etheridge MD practice location?
  • A: Destiny Etheridge MD is practicing at 1720 W Broadway Ste 107, Louisville, KY 40203.
  • Q: How to contact Destiny Etheridge MD?
  • A: You can contact Destiny Etheridge MD via 502-340-5900.