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Dr. Brian Louis Mattingly, MD
Diagnostic Radiology Physician in Louisville, Kentucky
NPI 1669639605

Brian Louis Mattingly is a Diagnostic Radiology Physician based in Louisville, KY and is specialized in Diagnostic Radiology. Brian Louis Mattingly practices in Louisville, KY and has the professional credentials of MD. The NPI Number for Brian Louis Mattingly is 1669639605 and holds a License No. 11013730A (Kentucky).

The current practice location address for Brian Louis Mattingly is 530 S Jackson St # C07, Louisville, KY and can be reached out via phone at 502-852-5875.

Location: 530 S Jackson St # C07, Louisville, KY, 40201-0909
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Provider Profile Details
NPI Number
1669639605
Provider Name
Brian Louis Mattingly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
530 S Jackson St # C07, Louisville, KY, 40201-0909
Phone Number
502-852-5875
Fax Number
Provider Enumeration Date
05/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01119551 01 IN RAILROAD MEDICARE
201061080 05 IN
7100241190 05 KY
institution
Provider Business Practice Location Address Details
Address
530 S Jackson St # C07
City
State
Zip
40202-1675
Phone Number
502-852-5875
Fax Number
person
Provider Business Mailing Address Details
Address
530 S Jackson St # C07
City
State
Zip
40202-1675
Phone Number
502-852-5875
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
11013730A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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