Individual
MATTHEW RYAN FOULKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 344-1512
(859) 331-3698
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 747-4446
(859) 344-1999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4007698
KY
363LA2100X
Acute Care Nurse Practitioner
1174274
KY
Other
Enumeration date
08/10/2023
Last updated
01/06/2026
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