Individual
MATTHEW RYAN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5129 DIXIE HWY STE 100, LOUISVILLE, KY 40216-1727
(502) 447-3242
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05033
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2018
Last updated
08/26/2021
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