Organization
SLEEP KWEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRON MATLOCK RPSGT/RMLT (PRESIDENT)
(573) 860-4004
Entity
Organization
Contact information
Practice address
101B PROGRESS PKWY, SULLIVAN, MO 63080-2359
(573) 860-4004
(573) 860-4003
Mailing address
101B PROGRESS PKWY, SULLIVAN, MO 63080-2359
(573) 860-4004
(573) 860-4003
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
MO
Other
Enumeration date
04/17/2006
Last updated
08/22/2020
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