Search › Kentucky › 133V00000X
Ethan Mattingly, RD
NPI 1386259471 · on the registry since 2020
Practice
- Address
- 175 Thad Redman Rd
Payneville, KY 40157 - Phone
- (270) 496-4435
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-15
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