Individual
MATTHEW THOMAS JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 E SYCAMORE ST, INDEPENDENCE, KS 67301-2827
(162) 077-9163
Mailing address
116 E SYCAMORE ST, INDEPENDENCE, KS 67301-2827
(620) 779-1632
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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