Individual
TORI MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 SE 2ND ST, LEES SUMMIT, MO 64063-2759
(816) 404-6170
Mailing address
300 SE 2ND ST, LEES SUMMIT, MO 64063-2759
(816) 404-6170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2021039384
MO
Other
Enumeration date
01/27/2020
Last updated
12/27/2022
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