Organization
MMR CARDIOVASCULAR CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW CL KEITH MD, PHD (OWNER)
(318) 393-2575
Entity
Organization
Contact information
Practice address
1101 GLENLAKE WAY, LOUISVILLE, KY 40245-5223
(812) 491-1390
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
06/18/2017
Last updated
09/11/2024
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