Individual
DR. MATTIE KATHERINE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1000 JOHNSTOWN RD STE 102, ELIZABETHTOWN, KY 42701-3925
(270) 769-0099
(270) 763-0315
Mailing address
1935 BLUEGRASS AVE STE 200, LOUISVILLE, KY 40215-1181
(502) 364-0033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2231DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100813860
—
KY
Enumeration date
07/16/2021
Last updated
06/22/2022
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