Individual
ALLISON ANNE ETLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 S JACKSON ST # A3K00, LOUISVILLE, KY 40202-1622
(502) 852-4277
Mailing address
550 S JACKSON ST # A3K00, LOUISVILLE, KY 40202-1622
(502) 852-4277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01097496B
IN
208000000X
Pediatrics Physician
Primary
01097496B
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2021
Last updated
08/22/2025
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