Individual
DR. KARI CARPENTER MATTSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
4051 NICHOLASVILLE RD, LEXINGTON, KY 40503-4432
(859) 272-1422
(859) 273-4582
Mailing address
251 LARUE, APT 109, LEXINGTON, KY 40517-8317
(859) 312-2793
(859) 273-4582
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1455DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360204
BLUE CROSS BLUE SHIELD
KY
05
—
77000040
—
KY
Enumeration date
05/24/2006
Last updated
10/02/2023
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