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Individual
MRS. SUSAN B MATTHEWS
Active
Individual
MRS. SUSAN B MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2835P
KY
363LF0000X
Family Nurse Practitioner
Primary
3002835
KY
363LF0000X
Family Nurse Practitioner
P2271
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000263813
ANTHEM BCBS
KY
05
—
78006764
—
KY
Enumeration date
08/11/2005
Last updated
11/28/2019
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