Individual
MR. CARSON EDWARD MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
335 SW MACVICAR AVE, TOPEKA, KS 66606-2441
(785) 379-2341
Mailing address
2421 SW CANDLETREE DR E APT 7, TOPEKA, KS 66614-1872
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3-120274
KS
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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