IndividualActive
Matthew Bacon, M.D.
NPI 1346494754 · Pediatric Critical Care Medicine Physician · Lexington, KY
Provider details
- NPI number
- 1346494754
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 44966 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
800 Rose St
Mn470
Lexington, KY 40536-0001
Phone: (859) 338-4096
Approximate (ZIP-level) locationGet directions
Mailing address
800 Rose St
Lexington, KY 40536-0001
Registry dates
- Enumerated
- 2008-11-12
- Last updated
- 2015-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.