Individual
DR. MATTHEW C BIRDWHISTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1138 LEXINGTON RD, SUITE 290, GEORGETOWN, KY 40324-9672
(502) 863-0721
(502) 863-6104
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
03293
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03293
LICENSE
KY
05
—
7100160510
—
KY
Enumeration date
01/16/2009
Last updated
08/28/2023
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