Individual
TABITHA LEANN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
7400 WYOMING ST, KANSAS CITY, MO 64114-1558
(417) 667-1559
Mailing address
7400 WYOMING ST, KANSAS CITY, MO 64114-1558
(417) 667-1559
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14138398
KS
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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