Individual
MICHAEL DAVID MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536
(859) 323-5956
Mailing address
299 KINGS DAUGHTERS DR, FRANKFORT, KY 40601-6514
(502) 875-5240
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3010356
KY
Other
Enumeration date
05/11/2016
Last updated
10/12/2021
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