Individual
DR. RAYMOND LEWIS MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
65 CEDAR VISTA DR, BRANDENBURG, KY 40108
(270) 422-5470
(270) 422-2567
Mailing address
65 CEDAR VISTA DR, BRANDENBURG, KY 40108
(270) 422-5470
(270) 422-2567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01978
KY
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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