Individual
DR. ANGELA RAWLINS WETHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 E CHESTNUT ST BLDG SUITE303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-1428
(502) 588-9490
(502) 367-3365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35883
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201003310
—
IN
05
—
7100134030
—
KY
01
—
K021662
MEDICARE
KY
01
—
P01228933
MEDICARE RR
KY
Enumeration date
01/29/2008
Last updated
02/09/2023
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