Individual
DR. MATTHEW CODY LEE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
9070 DIXIE HWY STE 6, LOUISVILLE, KY 40258-1007
(502) 928-0900
(502) 928-0901
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 489-6613
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
44841
KY
207RI0011X
Interventional Cardiology Physician
Primary
44841
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100143100
—
KY
Enumeration date
03/27/2009
Last updated
12/07/2020
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