Matherly, Melynda

Matherly, Melynda is an individual health care provider with primary practice located at 111 Daniel Dr , Danville KY 40422-2527. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Matherly, Melynda can be contacted via phone (859) 236-0916.

Contact Information

Primary practice address
111 Daniel Dr Danville KY 40422-2527
Phone: (859) 236-0916
Fax: (859) 236-0917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA591 Kentucky

Profile Details

NPI number 1295727592
LBN Legal business name Matherly, Melynda
Credentials P.A. C.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Feb 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295727592 NPPES
Kentucky MEDICAID 9500395000

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