Individual
DR. APRIL RENEE MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7926 PRESTON HWY, SUITE 210, LOUISVILLE, KY 40219-3848
(502) 371-0022
(502) 394-3620
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41600
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001008779
ANTHEM
KY
01
—
049330
SIHO
KY
05
—
200907180
—
IN
01
—
41600
KENTUCKY MEDICAL LICENSE
KY
01
—
50103506
PASSPORT
KY
05
—
7100044430
—
KY
Enumeration date
02/22/2007
Last updated
09/27/2022
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