Individual
ASHLEY ROE JESSIE MATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1704 W STOCKTON ST, EDMONTON, KY 42129-8137
(270) 432-4800
(270) 432-4804
Mailing address
1704 W STOCKTON ST, EDMONTON, KY 42129-8137
(270) 432-4800
(270) 432-4804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48197
KY
208000000X
Pediatrics Physician
48197
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100358370
—
KY
Enumeration date
05/19/2011
Last updated
03/02/2023
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