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Individual

DR. ANITA ROSE KOTHEIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
140 STONECREST RD, SHELBYVILLE, KY 40065-8142
(502) 633-0094
(502) 633-0033
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21295
KY
207VX0000X
Obstetrics Physician
21295
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64212954
KY
Enumeration date
04/14/2006
Last updated
03/04/2016
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