Individual
PHILIP J MATTHEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10186 TIMBERCREEK DR, UNION, KY 41091-9710
(859) 384-9484
Mailing address
10186 TIMBRECREEK DR, UNION, KY 41091
(859) 384-9484
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
4008
AK
Other
Enumeration date
11/17/2006
Last updated
01/25/2011
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