Individual
MATTHEW J. ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-5300
(859) 258-5357
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35088418
OH
207RC0000X
Cardiovascular Disease Physician
Primary
38495
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64082076
—
KY
05
—
6408207600
—
KY
Enumeration date
01/19/2007
Last updated
09/08/2023
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