| St Matthews Neurology Psc | |
|
1850 State St New Albany IN 47150-4990 | |
| (502) 899-1193 | |
| (502) 897-7233 |
| Full Name | St Matthews Neurology Psc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1850 State St, New Albany, Indiana |
| Authorized Official Name and Position | John Melton (PRESIDENT) |
| Authorized Official Contact | 5028991193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Matthews Neurology Psc 134 Travois Rd Louisville KY 40207-1673 Ph: (502) 899-1193 | St Matthews Neurology Psc 1850 State St New Albany IN 47150-4990 Ph: (502) 899-1193 |
| NPI Number | 1447475983 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 01/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447475983 | NPI | - | NPPES |
| 1157158 | Other | KY | PASSPORT |
| 000000187098 | Other | KY | ANTHEM |
| 65936692 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 26502 (Kentucky) | Primary |
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