NPI 1174741425

Mathew.P.Samuel,md Psc

Organisation Specialist Ashland, KY

Practice location

Address: 2154 Carter Ave STE D, Ashland, KY 41101-7739
Phone: (606) 325-9224

Authorised official

Name: Mathew P Samuel
Title: President
Phone: (606) 325-9224

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 30450 (KY)

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Registry record

NPI: 1174741425
Entity type: Organization
NPI issued: 23 Apr 2007
Record last updated: 12 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.