Individual provider · Type 1 NPI

Brian Louis Mattingly, MD

Diagnostic Radiology Physician · Louisville, KY

NPI number 1669639605 Active

Practice location

530 S Jackson St # C07
Louisville, KY 40202-1675

Call (502) 852-5875 Map

Mailing address

PO Box 909
Louisville, KY 40201-0909

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X11013730A (IN)
Diagnostic Radiology Physician 2085R0202X01070895A (IN)
Diagnostic Radiology Physician Primary 2085R0202X45959 (KY)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1669639605

Brian Louis Mattingly, MD's National Provider Identifier is 1669639605, issued on May 19, 2008. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Louisville, KY. The record was last updated on Feb 14, 2020.