Individual
DR. KIMBERLY DIANE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9119 W 74TH ST, STE 300, SHAWNEE MISSION, KS 66204-2236
(913) 677-3113
(913) 677-4514
Mailing address
9119 W 74TH ST, STE 300, SHAWNEE MISSION, KS 66204-2236
(913) 677-3113
(913) 677-4514
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-32836
KS
207V00000X
Obstetrics & Gynecology Physician
2007006298
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200452860B
—
KS
01
—
39117034
BLUE CROSS BLUE SHIELD OF KC
—
01
—
CS0974
RAILROAD MEDICARE
—
Enumeration date
06/26/2006
Last updated
09/15/2011
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