DESTINY ETHERIDGE, MD
Family Medicine
Active
Individual
NPI: 1871099002
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 55932 (KY) |
| Family Medicine - Addiction Medicine | 207QA0401X | No | 55932 (KY) |
Frequently Asked Questions
NPI 1871099002 is the National Provider Identifier for DESTINY ETHERIDGE, MD, a Family Medicine provider located in Louisville, KY. This NPI was enumerated on April 5, 2018.
DESTINY ETHERIDGE, MD practices at 1720 W BROADWAY STE 107, Louisville, KY 40203.
Quick Facts
- NPI
- 1871099002
- Type
- Individual
- Enumerated
- Apr 5, 2018
- Last Updated
- Aug 8, 2022
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