Individual
DR. MATTHEW MICHAEL MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
166 PASADENA DR, SUITE 100, LEXINGTON, KY 40503-2973
(859) 278-0319
(859) 278-9699
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4900
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40479
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
40479
KY
207RP1001X
Pulmonary Disease Physician
Primary
40479
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100108990
—
KY
Enumeration date
03/03/2007
Last updated
12/11/2020
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