Individual provider · Type 1 NPI

Matthew Jacob Kotlove, MD

Hematology & Oncology Physician · Edgewood, KY

NPI number 1821416645 Active

Practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Fax (859) 301-4001

Mailing address

PO Box 636324
Cincinnati, OH 45263-6324

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X57.024319 (OH)
Hematology & Oncology Physician 207RH0003X35.130665 (OH)
Internal Medicine Physician 207R00000X35.130665 (OH)
Medical Oncology Physician 207RX0202X54040 (KY)
Hematology & Oncology Physician Primary 207RH0003X54040 (KY)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1821416645

Matthew Jacob Kotlove, MD's National Provider Identifier is 1821416645, issued on Mar 29, 2014. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Edgewood, KY. The record was last updated on May 14, 2021.