Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW TODD DESJARDINS, MD
ActiveDR. MATTHEW TODD DESJARDINS, MD is a Sports Medicine healthcare provider located in EDGEWOOD, Kentucky. NPI 1699777847 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · EDGEWOOD, KY
Registration Details
- NPI Number
- 1699777847
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2005 (21.158596019883 yrs)
- Last Updated
- May 11, 2015
- License
-
38980 (KY)
Practice Information
- Address
-
560 S LOOP RDEDGEWOOD, KY, 410173405Browse KY providers · Browse ZIP 41017
- Phone
- 8593012663
- Fax
- 8593010655
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in EDGEWOOD, KY
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES ALLEN JAGGER | M.D. | 1609848134 |
| DR. REBECCA ELISE POPHAM | D.O. | 1629377411 |
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.