Individual
KELLY S MATMATI
Active
Individual
KELLY S MATMATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
269209
NY
2084N0400X
Neurology Physician
66802
CT
2084V0102X
Vascular Neurology Physician
269209
NY
2084V0102X
Vascular Neurology Physician
Primary
66802
CT
Other
Enumeration date
08/07/2008
Last updated
09/15/2025
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