JONATHAN ROBERT MATTINGLY

LOUISVILLE, KY
NPI1962105833
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: KY  R7408)
Enumeration Date2023-03-22
Last Update Date2026-09-09
Business Address
JONATHAN ROBERT MATTINGLY
500 S PRESTON ST
LOUISVILLE, KY 40202-1702
Phone number: 502-852-5193
Mailing Address
JONATHAN ROBERT MATTINGLY
7805 BINFORD WAY
LOUISVILLE, KY 40291-5279
Phone number: 502-489-4641