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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MATTHEW JAMES CONNOLLY, D.P.M.

Active

DR. MATTHEW JAMES CONNOLLY, D.P.M. is a Podiatrist healthcare provider located in EDGEWOOD, Kentucky. NPI 1023010279 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · EDGEWOOD, KY

Registration Details

NPI Number
1023010279
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2005 (21.164993283815 yrs)
Last Updated
Jul 7, 2021
Licenses
244122 (KY)
00180 (KY)
00180 (KY)
244122 (KY)
244122 (KY)

Practice Information

Address
560 S LOOP RD
EDGEWOOD, KY, 410173405
Browse KY providers · Browse ZIP 41017
Phone
8593012663
Fax
8598177848
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
Radiology Podiatrist
Additional Specialty
Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.