Individual
REBECCA SWEITZER FELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-7601
Mailing address
234 E GRAY ST, LOUISVILLE, KY 40202-1900
(502) 585-1735
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2007-00047
NC
2085R0202X
Diagnostic Radiology Physician
Primary
39566
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000569792
ANTHEM BC BS
KY
05
—
7100040910
—
KY
Enumeration date
03/08/2007
Last updated
08/12/2008
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