Whalio Doctors

NPI 1023010279

Matthew James Connolly, DPM

Practitioner Podiatrist Edgewood, KY

Practice location

Address
560 S Loop Rd, Edgewood, KY 41017-3405
Phone
(859) 301-2663
Fax
(859) 817-7848

Registered specialties (5)

Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 244122 (KY)
Primary Podiatric Medicine Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 244122 (KY)
Primary Podiatric Medicine Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 00180 (KY)
Foot & Ankle Surgery Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 00180 (KY)
Foot & Ankle Surgery Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 244122 (KY)

Registry record

NPI
1023010279
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Jun 2005
Record last updated
7 Jul 2021

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.