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Individual

ETHAN RILEY STEELE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
401 E CHESTNUT ST UNIT 310, LOUISVILLE, KY 40202-5703
(502) 588-4720
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4720

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
06323
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100997340
KY
Enumeration date
04/17/2023
Last updated
04/27/2026
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