Kotheimer, Anita Rose

Kotheimer, Anita Rose is an individual health care provider with primary practice located at 140 Stonecrest Rd , Shelbyville KY 40065-8142. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Kotheimer, Anita Rose can be contacted via phone (502) 633-0094.

Contact Information

Primary practice address
140 Stonecrest Rd Shelbyville KY 40065-8142
Phone: (502) 633-0094
Fax: (502) 633-0033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 21295 Kentucky
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 21295 Kentucky

Profile Details

NPI number 1346204526
LBN Legal business name Kotheimer, Anita Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Mar 4th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346204526 NPPES
Kentucky MEDICAID 64212954

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