Organization
MATTHEW H. CONRAD, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN K CONRAD RN (BUSINESS MANAGER)
(316) 681-2227
Entity
Organization
Contact information
Practice address
1700 WATERFRONT PKWY, BLDG 200, WICHITA, KS 67206-6614
(316) 681-2227
(316) 684-5250
Mailing address
1700 WATERFRONT PKWY, BUILDING 200, WICHITA, KS 67206-6614
(316) 681-2227
(316) 684-5250
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100421630A
—
KS
Enumeration date
09/10/2008
Last updated
04/21/2011
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