Individual
DAVID RAY MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1355 2ND ST, HENDERSON, KY 42420-3357
(270) 827-9857
Mailing address
337 TARTAN DR, HENDERSON, KY 42420-4789
(270) 826-3232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
KY9093
KY
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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