Individual
MRS. GRETA C HAWKINS-MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 923-5800
Mailing address
3801 BLUE PKWY, KANSAS CITY, MO 64130-2807
(816) 923-5800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000175452
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200270210A
—
KS
05
—
200270210B
—
KS
05
—
208408807
—
MO
05
—
208408815
—
MO
Enumeration date
09/09/2005
Last updated
04/19/2011
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