Individual
DARREN MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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