Individual
MATTHEW HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
464 KY HIGHWAY 699, CORNETTSVILLE, KY 41731-8749
(606) 476-2593
Mailing address
PO BOX 40, WHITESBURG, KY 41858
(606) 633-4823
(606) 633-1874
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA808
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95004289
—
KY
Enumeration date
05/23/2006
Last updated
01/31/2019
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