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
4685 FOREST AVE, CINCINNATI, OH 45212-3397
(513) 246-1964
(513) 852-8525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4007698
KY
363LA2100X
Acute Care Nurse Practitioner
1174274
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0033346
OH
Other
Enumeration date
08/10/2023
Last updated
08/10/2026
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