Individual provider · Type 1 NPI

Matthew Theilmann

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1124946108 Active

Practice location

3810 Springhurst Blvd Ste 200
Louisville, KY 40241-6162

Call (502) 583-1749 Map

Mailing address

1032 Armstrong Mill Rd Apt D
Lexington, KY 40517-3143

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124946108

Matthew Theilmann's National Provider Identifier is 1124946108, issued on Jul 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Jul 14, 2026.