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Contact Information

MATTHEW J CONNOLLY, DPM
560 S LOOP RD
EDGEWOOD, KY41017-3405
 Phone: 859-301-2663
 Fax: 859-817-7848
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MATTHEW J CONNOLLY · (Male)

NPI Number 1023010279
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/01/2005
Last updated 07/07/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 00180
  • KY License # 244122
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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