# DAVID J. ZOELLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1194708776
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 26429 | KY | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | 26429 | KY | — |

## Other

- **Enumeration date:** 11/28/2005
- **Last updated:** 12/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000050365 | ANTHEM BCBS | KY |
| 05 | — | 1510590 | — | TN |
| 05 | — | 4047817 | — | TN |
| 05 | — | 6426429400 | — | KY |