Individual
DR. ALLISON HAVENS KOETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9702 STONESTREET RD, LOUISVILLE, KY 40272-6808
(833) 510-4357
(866) 460-2997
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(833) 510-4357
(866) 460-2997
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
54433
KY
2083P0901X
Public Health & General Preventive Medicine Physician
R4623
KY
Other
Enumeration date
05/24/2013
Last updated
04/20/2022
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