Individual
MATTHEW AARON RENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 W 4TH ST STE 3204, LAWRENCE, KS 66044
(785) 505-5815
(785) 505-5278
Mailing address
1130 W 4TH ST STE 3204, LAWRENCE, KS 66044-1345
(785) 505-5815
(785) 505-5278
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01071850A
IN
207T00000X
Neurological Surgery Physician
9406108
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000793361
ANTHEM
IN
05
—
201115940
—
IN
01
—
P01124526
RAILROAD MEDICARE
IN
Enumeration date
04/12/2007
Last updated
11/23/2020
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