# MATHEW.P.SAMUEL,MD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174741425
- **Authorized official:** DR. MATHEW P SAMUEL M.D (PRESIDENT)
- **Authorized official phone:** (606) 325-9224

## Contact information

- **Practice address:** 2154 CARTER AVE STE D, ASHLAND, KY 41101-7739
- **Practice address phone:** (606) 325-9224
- **Mailing address:** 2154 CARTER AVE STE D, ASHLAND, KY 41101-7739
- **Mailing address phone:** (606) 325-9224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 30450 | KY | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 10/12/2007