IndividualActive
Matthew Giese, PA-C
NPI 1053789024 · Surgical Physician Assistant · Edgewood, KY
Provider details
- NPI number
- 1053789024
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA2028 (KY)
Practice location
560 S Loop Rd
Edgewood, KY 41017-3405
Phone: (859) 301-2663
Fax: (859) 301-0655
Mailing address
560 S Loop Rd
Edgewood, KY 41017-3405
Registry dates
- Enumerated
- 2015-09-09
- Last updated
- 2016-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.