Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESTINY ETHERIDGE, MD
ActiveDESTINY ETHERIDGE, MD is a Family Medicine healthcare provider located in LOUISVILLE, Kentucky. NPI 1871099002 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LOUISVILLE, KY
Registration Details
- NPI Number
- 1871099002
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2018 (8.4045870744497 yrs)
- Last Updated
- Aug 8, 2022
- Licenses
-
TP282 (KY)55932 (KY)55932 (KY)
Practice Information
- Address
-
1720 W BROADWAY STE 107LOUISVILLE, KY, 402033607Browse KY providers · Browse ZIP 40203
- Phone
- 5023405900
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Addiction Medicine (Family Practice)
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LOUISVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| JONATHAN A BECKER | MD | 1235132333 |
| DR. DENNIS S GRAY | M.D. | 1942202288 |
| ELIZABETH ROUSE WONG | MD | 1891799847 |
| MICHAEL JAMES GAFFNEY | MD | 1013911809 |
| DR. JAMES OBRIEN | M.D. | 1740284553 |
| DR. JAMES A. WRIGHT | M.D. | 1245234053 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.