Individual
DR. KELLI DAWN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 218-0837
(859) 257-2605
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
03587
KY
207RP1001X
Pulmonary Disease Physician
Primary
03587
KY
Other
Enumeration date
05/15/2010
Last updated
01/07/2021
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