Individual
MARY ANN MATTHEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
71 ORPHANAGE RD, FT MITCHELL, KY 41017-3006
(859) 331-0880
Mailing address
8493 KROTH LN, UNION, KY 41091-9747
(859) 384-9484
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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