Individual
DR. KATRINA ANDREA MATTINGLY
Active
Individual
DR. KATRINA ANDREA MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01069823A
IN
207P00000X
Emergency Medicine Physician
AU3890402/C6667
IL
Other
Enumeration date
03/03/2009
Last updated
08/03/2011
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