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Individual

MATTHEW THOMAS MCLEAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20375 W 151ST ST STE 451, OLATHE, KS 66061-7210
(913) 829-0446
(913) 829-7829
Mailing address
20375 W 151ST ST STE 451, OLATHE, KS 66061-7210
(913) 829-0446
(913) 829-7829

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
04-22824
KS
207RP1001X
Pulmonary Disease Physician
Primary
19414
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1938647
IA
05
7712380
SD
Enumeration date
06/02/2005
Last updated
10/26/2017
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