Mattie A Byler, LCPM
Individual provider Active NPI Midwife · Crab Orchard, KY
NPI 1689241069 · NPPES record last updated Jun 5, 2021
Key facts
- NPI
- 1689241069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 9000025 (KY)
- Practice address
- 6820 Ky Highway 643
Crab Orchard, KY 40419-8936 - Phone
- (859) 749-5845
- NPI assigned
- Jun 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9000025 | KY | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife |
176B00000X | 9000025 | KY | Yes |
Addresses
Primary practice location
6820 Ky Highway 643
Crab Orchard, KY 40419-8936
Mailing address
6820 Ky Highway 643
Crab Orchard, KY 40419-8936
Other providers in Crab Orchard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.