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Individual
DR. MATTHEW JAMES CONNOLLY
Active
Individual
DR. MATTHEW JAMES CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
244122
KY
213EP1101X
Primary Podiatric Medicine Podiatrist
00180
KY
213EP1101X
Primary Podiatric Medicine Podiatrist
244122
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
00180
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
244122
KY
Other
Enumeration date
06/01/2005
Last updated
07/07/2021
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