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NPI 1114060902

IndividualActive

Stephen Mattingly

NPI 1114060902 · Technician · Elizabethtown, KY

Provider details

NPI number: 1114060902
Entity type: Individual
Primary specialty: TechnicianNursing Service Related Providers
Sex: Female
Sole proprietor: No

Practice location

107 Cranes Roost Ct

Elizabethtown, KY 42701-3650

Phone: (270) 765-2605

Fax: (270) 234-8572

More KY providers

Mailing address

107 Cranes Roost Ct

Elizabethtown, KY 42701-3650

Registry dates

Enumerated: 2007-02-14
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Stephen Mattingly — NPI 1114060902, Elizabethtown, KY | NPI Central