Individual
MATTHEW RYAN ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
320 WHITTINGTON PKWY, STE 301, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264
Mailing address
320 WHITTINGTON PKWY, STE 301, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1134026
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
3007849
KY
Other
Enumeration date
01/15/2013
Last updated
03/22/2016
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