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Contact Information

NICHOLAS C MATTINGLY
800 ZORN AVE
GEC DIVISION
LOUISVILLE, KY40206-1433
 Phone: 502-287-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NICHOLAS C MATTINGLY · (Male)

NPI Number 1679609929
Status Active
Credentials
Entity Individual
Enumeration date 02/23/2007
Last updated 03/04/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 42491
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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