Jonathan Robert Mattingly
Jonathan Robert Mattingly is a General Practice Physician in Louisville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.
- Licensed in
- KY
- In the registry since
- 2023
Practice location Address checks out
500 S Preston StLouisville, KY 40202-1702
Phone: (502) 852-5193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence R7408 (KY) |
|---|
Record details
| NPI number | 1962105833 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 22, 2023 |
| Last updated in NPPES | September 9, 2026 |
| Certification date | September 9, 2026 |
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