Individual
MATTHEW SHOULDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KCSA
Contact information
Practice address
311 CEDAR WAY, FRANKFORT, KY 40601-9003
(502) 454-7766
(502) 454-7788
Mailing address
311 CEDAR WAY, FRANKFORT, KY 40601-9003
(502) 454-7766
(502) 454-7788
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA206
KY
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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