Individual
MATTHEW TIMOTHY MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086-6000
(816) 932-0340
(816) 932-3148
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1246
(816) 404-9597
(816) 404-7756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2020019358
MO
208M00000X
Hospitalist Physician
Primary
2023027651
MO
Other
Enumeration date
04/03/2020
Last updated
08/15/2023
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