Individual
MATTHEW K. SHOTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
191 WAL MART WAY, MAYSVILLE, KY 41056-7518
(606) 759-0021
(606) 759-0086
Mailing address
191 WAL MART WAY, MAYSVILLE, KY 41056-7518
(606) 759-0021
(606) 759-0086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35069776S
OH
207R00000X
Internal Medicine Physician
35596
KY
207RC0000X
Cardiovascular Disease Physician
35069776S
OH
207RC0000X
Cardiovascular Disease Physician
35596
KY
207RI0011X
Interventional Cardiology Physician
35069776S
OH
207RI0011X
Interventional Cardiology Physician
Primary
35596
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2224560
—
OH
05
—
64015209
—
KY
Enumeration date
03/09/2006
Last updated
10/24/2022
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