Individual
DR. ELENI MARIA COLLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 447-8786
(502) 447-8623
Mailing address
9152 TAYLORSVILLE RD # 276, LOUISVILLE, KY 40299-1752
(502) 447-8786
(502) 447-8623
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01086500A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300015541
—
IN
05
—
7100891620
—
KY
Enumeration date
03/26/2017
Last updated
09/21/2023
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