MCKENZIE MATTINGLY NPI 1619337920

NPI Information

NPI: 1619337920
Provider Name: MCKENZIE MATTINGLY
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
2200 E PARRISH AVE
BLDG B STE 101
OWENSBORO, KY
ZIP 42303
Phone: (270) 683-3232
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Mckenzie Mattingly is a pediatrics nurse practitioner in Owensboro, KY. Mckenzie Mattingly NPI is 1619337920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2200 E PARRISH AVE
BLDG B STE 101
OWENSBORO, KY
ZIP 42303-449
Phone: (270) 683-3232

The enumeration date for this NPI number is 2/29/2016 and was last updated on 2/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	3010168	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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