Individual
ALLISON LEE BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 CENTRAL AVE, LOUISVILLE, KY 40208-1449
(502) 588-4521
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
59248
KY
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
59248
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
07/29/2024
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