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General NPI Number Information
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NPI Number | 1245216704
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Entity Type | Individual
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Provider Name | ANA L SCHOLTZ MD
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Gender | Female
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 10211 WESTPORT RD
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City | LOUISVILLE
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State | KY
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Zip | 40241-2147
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Country | US
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Telephone | 502-339-0444
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Fax | 502-339-1717
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Provider Business Mailing Address
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Address Line | PO BOX 776351
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City | CHICAGO
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State | IL
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Zip | 60677-6357
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Country | US
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Telephone | 502-588-9490
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Fax | 502-272-5116
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 37970
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License Number State | KY
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