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Individual
MRS. VONDA BROCK MATTINGLY
Active
Individual
MRS. VONDA BROCK MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1102923
KY
363LF0000X
Family Nurse Practitioner
Primary
3009289
KY
Other
Enumeration date
03/05/2015
Last updated
07/15/2026
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