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Individual

MATTHEW D. ASHMUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1225 S. BROADWAY, STE 201, LEXINGTON, KY 40504
(859) 258-4950
(859) 258-4618
Mailing address
1225 S BROADWAY, SUITE 201, LEXINGTON, KY 40504
(859) 258-4950
(859) 258-4618

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
41087
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
311369596
TAX ID
OH
Enumeration date
06/09/2006
Last updated
10/30/2012
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