Individual
BETHANY PETREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 DUTCHMANS LN, LOUISVILLE, KY 40207-4714
(502) 893-1270
(502) 894-1321
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000449C
IN
367A00000X
Advanced Practice Midwife
4011242
KY
Other
Enumeration date
12/13/2023
Last updated
12/17/2025
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