Healthcare Provider Details

I. General information

NPI: 1194373373
Provider Name (Legal Business Name): ANNE CAROLE PREUSS DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2019
Last Update Date: 08/02/2022
Certification Date: 08/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3684 HIGHWAY 150 STE 3
FLOYDS KNOBS IN
47119-9692
US

IV. Provider business mailing address

311 BILTMORE RD
LOUISVILLE KY
40207-2803
US

V. Phone/Fax

Practice location:
  • Phone: 812-923-9837
  • Fax: 812-923-1872
Mailing address:
  • Phone: 502-821-3580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number247055
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number247055
License Number StateKY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: