person
Matthew Mckinley Ellsworth, DPM
Podiatrist in Ashland, Kentucky
NPI 1124387618

Matthew Mckinley Ellsworth is a Podiatrist based in Ashland, KY. Matthew Mckinley Ellsworth practices in Ashland, KY and has the professional credentials of DPM. The NPI Number for Matthew Mckinley Ellsworth is 1124387618 and holds a License No. 36.003921 (Kentucky).

The current practice location address for Matthew Mckinley Ellsworth is 613 23Rd St Ste G30, Ashland, KY and can be reached out via phone at 606-327-0036 and via fax at 606-326-1159. You can also correspond with Matthew Mckinley Ellsworth through the mailing address at PO BOX 2379, ASHLAND, KY - 41105-2379 (mailing address contact number: 606-408-6200).

Location: 613 23Rd St Ste G30, Ashland, KY, 41105-2379
person
Provider Profile Details
NPI Number
1124387618
Provider Name
Matthew Mckinley Ellsworth
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
613 23Rd St Ste G30, Ashland, KY, 41105-2379
Phone Number
606-327-0036
Fax Number
606-326-1159
Provider Enumeration Date
05/03/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7100351750 05 KY
institution
Provider Business Practice Location Address Details
Address
613 23Rd St Ste G30
City
State
Zip
41101-2881
Phone Number
606-327-0036
Fax Number
606-326-1159
person
Provider Business Mailing Address Details
Address
Po Box 2379
City
State
Zip
41105-2379
Phone Number
606-408-6200
Fax Number
606-408-6612
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
00426 (Kentucky)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
36.003921 (Ohio)
Definition
Definition to come...
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