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Contact Information

JACQUELINE R MATAR, MD
701 BOB O LINK DR
SUITE 120
LEXINGTON, KY40504-3759
 Phone: 859-277-3737
 Fax: 859-277-3765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for JACQUELINE R MATAR · (Female)

NPI # 1811998578
Status Active
Credentials MD
Entity Individual
Enumeration date 08/03/2005
Last updated 01/30/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 24630
  • KY Medicaid 64246309
  • KY Other 920006560 RR MEDICARE
Hospital affiliation(s)
  • FLAGET MEMORIAL HOSPITAL (MEMBER OF SAINT JOSEPH H - (Acute Care)
    4305 NEW SHEPHERDSVILLE ROAD
    BARDSTOWN, KY 40004
  • SAINT JOSEPH HOSPITAL - (Acute Care)
    ONE SAINT JOSEPH DRIVE
    LEXINGTON, KY 40504
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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