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DR. ALLISON HAVENS KOETTER M.D. NPI 1992142475


NPI Information

NPI: 1992142475
Provider Name: DR. ALLISON HAVENS KOETTER, M.D.
Classification: Internal Medicine - 207RA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
9702 STONESTREET RD
LOUISVILLE, KY
ZIP 40272
Phone: (833) 510-4357
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DR. Allison Havens Koetter, M.D. is an addiction medicine internal medicine in Louisville, KY with 11 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. DR. Allison Havens Koetter, M.D. NPI is 1992142475. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

9702 STONESTREET RD
LOUISVILLE, KY
ZIP 40272-808
Phone: (833) 510-4357
Fax: (866) 460-2997

The NPI 1992142475 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2013 and was last updated on 4/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0901XPreventive MedicinePublic Health & General Preventive MedicineR4623KENTUCKYNo
2207RA0401XInternal MedicineAddiction Medicine54433KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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