Provider Demographics
NPI:1194373373
Name:PREUSS, ANNE CAROLE (DPM)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:CAROLE
Last Name:PREUSS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 BILTMORE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-2803
Mailing Address - Country:US
Mailing Address - Phone:502-821-3580
Mailing Address - Fax:
Practice Address - Street 1:3684 HIGHWAY 150 STE 3
Practice Address - Street 2:
Practice Address - City:FLOYDS KNOBS
Practice Address - State:IN
Practice Address - Zip Code:47119-9692
Practice Address - Country:US
Practice Address - Phone:812-923-9837
Practice Address - Fax:812-923-1872
Is Sole Proprietor?:No
Enumeration Date:2019-08-30
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY247055213ES0103X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery