Individual
WENDY J BOTTINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 E CHESTNUT ST UNIT 310, LOUISVILLE, KY 40202-5703
(502) 588-4710
(502) 588-4771
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4710
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101268750
VA
207RC0000X
Cardiovascular Disease Physician
47023
KY
207RC0000X
Cardiovascular Disease Physician
MD55786
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300008459
—
IN
05
—
7100500750
—
KY
Enumeration date
04/28/2011
Last updated
03/24/2021
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