Individual
MATTHEW NOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-3008
(859) 257-1000
(859) 323-1194
Mailing address
337 JANE BRIGGS AVE, LEXINGTON, KY 40509-4502
(937) 371-5859
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1156459
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3016271
KY
Other
Enumeration date
07/21/2021
Last updated
09/16/2021
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