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Individual

MATTHEW FRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-3679
(816) 932-9089
Mailing address
901 E 104TH STREET, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 502-7117
(816) 932-9670

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2018029892
MO

Other

Enumeration date
06/27/2019
Last updated
01/24/2023
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