person
Dr. Carl G Mattacola, PHD
Other Specialist/Technologist in Lexington, Kentucky
NPI 1225000706

Carl G Mattacola is a Other Specialist/Technologist based in Harrodsburg, KY. Carl G Mattacola practices in Lexington, KY and has the professional credentials of PHD. The NPI Number for Carl G Mattacola is 1225000706 and holds a License No. AT400 (Kentucky).

The current practice location address for Carl G Mattacola is 900 South Limestone, Lexington, KY and can be reached out via phone at 859-323-1100 and via fax at 859-323-6003. You can also correspond with Carl G Mattacola through the mailing address at INDIGO FARM, HARRODSBURG, KY - 40330 (mailing address contact number: 859-323-1100).

Location: 900 South Limestone, Lexington, KY, 40330
person
Provider Profile Details
NPI Number
1225000706
Provider Name
Carl G Mattacola
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
900 South Limestone, Lexington, KY, 40330
Phone Number
859-323-1100
Fax Number
859-323-6003
Provider Enumeration Date
02/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
900 South Limestone
City
State
Zip
40536-0001
Phone Number
859-323-1100
Fax Number
859-323-6003
person
Provider Business Mailing Address Details
Address
Indigo Farm
City
State
Zip
40330
Phone Number
859-323-1100
Fax Number
859-323-6003
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
License No.
AT400 (Kentucky)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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