Individual
DR. MATTHEW D KREIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
103 DIECKS DR, ELIZABETHTOWN, KY 42701-2444
(270) 769-1397
(270) 765-4899
Mailing address
103 DIECKS DR, ELIZABETHTOWN, KY 42701-2444
(270) 769-1397
(270) 765-4899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1880DT
KY
152W00000X
Optometrist
2659
OK
152W00000X
Optometrist
2665
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4T086B199
MEDICARE PTAN
AR
Enumeration date
07/19/2010
Last updated
10/22/2012
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