| Matthew C Birdwhistell Do Llc | |
|
1138 Lexington Rd Suite 290 Georgetown KY 40324-9672 | |
| (502) 863-0721 | |
| (502) 863-6104 |
| Full Name | Matthew C Birdwhistell Do Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1138 Lexington Rd, Georgetown, Kentucky |
| Authorized Official Name and Position | Matthew C Birdwhistell (OWNER) |
| Authorized Official Contact | 5028630721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew C Birdwhistell Do Llc 1138 Lexington Rd Suite 290 Georgetown KY 40324-9672 Ph: (502) 863-0721 | Matthew C Birdwhistell Do Llc 1138 Lexington Rd Suite 290 Georgetown KY 40324-9672 Ph: (502) 863-0721 |
| NPI Number | 1114265923 |
|---|---|
| Provider Enumeration Date | 01/29/2013 |
| Last Update Date | 01/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114265923 | NPI | - | NPPES |
| 7100160510 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 03293 (Kentucky) | Primary |
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