Provider Demographics
NPI:1275796864
Name:NELTNER, MATTHEW JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:JOHN
Last Name:NELTNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:830 S LIMESTONE
Mailing Address - Street 2:UNIVERSITY HEALTH SERVICE
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0582
Mailing Address - Country:US
Mailing Address - Phone:859-323-5511
Mailing Address - Fax:859-257-9816
Practice Address - Street 1:830 S LIMESTONE
Practice Address - Street 2:UNIVERSITY HEALTH SERVICE
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0582
Practice Address - Country:US
Practice Address - Phone:859-323-5511
Practice Address - Fax:859-257-9816
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY424942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry