Healthcare Provider Details

I. General information

NPI: 1528118551
Provider Name (Legal Business Name): MATTHEW E PRICE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S 8TH ST STE 203E
MURRAY KY
42071-2400
US

IV. Provider business mailing address

1000 S 12TH ST
MURRAY KY
42071-9303
US

V. Phone/Fax

Practice location:
  • Phone: 270-762-1562
  • Fax: 270-752-2864
Mailing address:
  • Phone: 270-759-9200
  • Fax: 270-759-9966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number41025
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: