Search › Kentucky › 122300000X
Matthew Tewell
NPI 1093219479 · on the registry since 2018 · sole proprietor
Practice
- Address
- 9900 3rd Street Rd
Louisville, KY 40272 - Phone
- (502) 933-2228
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky