Individual
MATTHEW SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-6161
Mailing address
381 S UPPER ST APT 2, LEXINGTON, KY 40508-2584
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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