Individual
DR. PHILLIP ALBERT CETINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 E CHESTNUT ST BLDG SUITE303, LOUISVILLE, KY 40202-1831
(502) 629-5552
Mailing address
550 S JACKSON ST FL STREET3, LOUISVILLE, KY 40202-1622
(502) 852-5666
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05848
KY
390200000X
Student in an Organized Health Care Education/Training Program
R6172
KY
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2021
Last updated
07/12/2024
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