Individual
MITCHELL PAUL MATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10500 QUIVIRA RD, LENEXA, KS 66215-2306
(913) 541-5000
Mailing address
12200 W 106TH ST STE 325, OVERLAND PARK, KS 66215-2305
(913) 498-7004
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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