Graves, Matthew

Graves, Matthew is an individual health care provider with primary practice located at 303 S 4Th St , Danville KY 40422-2004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Graves, Matthew can be contacted via phone (859) 236-1080.

Contact Information

Primary practice address
303 S 4Th St Danville KY 40422-2004
Fax: (859) 236-1862
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 38651 Kentucky

Profile Details

NPI number 1770544942
LBN Legal business name Graves, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1770544942 NPPES
Kentucky MEDICAID 64081946

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