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1174574024
CHARLES MATTHEW KODNER
LOUISVILLE, KY
NPI
1174574024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 33170)
Enumeration Date
2006-05-15
Last Update Date
2021-09-02
Business Address
CHARLES MATTHEW KODNER MD
7430 JEFFERSON BLVD STE 100
LOUISVILLE, KY 40219-6159
Phone number: 502-969-0975
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Mailing Address
CHARLES MATTHEW KODNER MD
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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