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Individual

DR. MATTHEW DOUGLAS DENNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1730 HIGHWAY 192 W, LONDON, KY 40741-1675
(606) 878-1568
Mailing address
101 VILLAS CT APT 5, LONDON, KY 40741-5002
(859) 588-9765

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016523
KY

Other

Enumeration date
08/19/2013
Last updated
08/19/2013
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