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Bridgett Mattingly
NPI 1376923417 · on the registry since 2015 · sole proprietor
Practice
- Address
- 117 Weisser Ave
Louisville, KY 40206 - Phone
- (502) 930-3187
- Organisation at this address
- Bridgett Powers Mattingly
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-03
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