Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN MATTINGLY, RD
ActiveETHAN MATTINGLY, RD is a Registered Dietitian healthcare provider located in PAYNEVILLE, Kentucky. NPI 1386259471 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · PAYNEVILLE, KY
Registration Details
- NPI Number
- 1386259471
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2020 (5.8917849842854 yrs)
- Last Updated
- Sep 15, 2020
- License
-
164314 (KY)
Practice Information
- Address
-
175 THAD REDMAN RDPAYNEVILLE, KY, 401577524Browse KY providers · Browse ZIP 40157
- Phone
- 2704964435
- Primary Specialty
-
Registered Dietitian
133V00000X
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.