Individual
HEATHER M FELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1169 EASTERN PKWY STE 100, LOUISVILLE, KY 40217-1472
(502) 588-0700
(502) 588-7886
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(025) 889-4905
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45845
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201160370
—
IN
05
—
7100171530
—
KY
Enumeration date
03/25/2010
Last updated
09/12/2024
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