Individual
DR. KRYSTAL RAE ADAMS MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
608 N MAGUIRE ST, WARRENSBURG, MO 64093-1420
(660) 747-7300
Mailing address
608 N MAGUIRE ST, WARRENSBURG, MO 64093-1420
(660) 747-7300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2020015755
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020015755
MO STATE BOARD OF OPTOMETRY LICENSE NUMBER
MO
Enumeration date
06/10/2020
Last updated
10/04/2022
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