Tyler Mattingly
Tyler Mattingly is an Anesthesiology in Louisville, Kentucky. Qualified in 2022, 4 years ago. Licensed in Kentucky.
- Years since qualifying
- 4
- Licensed in
- KY
- In the registry since
- 2020
Practice location Address checks out
500 S Preston St Rm 305Louisville, KY 40202-1702
Phone: (502) 852-8696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence TP209 (KY) |
|---|
Record details
| NPI number | 1255952891 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 6, 2020 |
| Last updated in NPPES | July 6, 2026 |
| Certification date | July 6, 2026 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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