Individual
VICTORIA ANNE STATLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
411 E CHESTNUT ST # 4B5A, LOUISVILLE, KY 40202-1713
(502) 588-2348
(502) 588-2334
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 272-5754
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
43345
KY
2080P0208X
Pediatric Infectious Diseases Physician
Primary
43345
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200986900
—
IN
05
—
7100117940
—
KY
Enumeration date
04/03/2007
Last updated
04/24/2024
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