Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mat Prac Group, LLC

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1083093207

Mat Prac Group, LLC is an Addiction Medicine (Internal Medicine) Physician in Louisville, Kentucky. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

204 S Floyd St Box 8
Louisville, KY 40202-1208
Phone: (502) 681-5752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X

Record details

NPI number1083093207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bill Dawson — Coo · (502) 681-5752
NPI enumeratedMay 20, 2015
Last updated in NPPESJuly 2, 2015
Mailing address204 S Floyd St, Box 8, Louisville, KY 40202-1208

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