Individual
MATTHEW SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 N. KANSAS, WCGME, WICHITA, KS 67214
(316) 962-3030
Mailing address
1418 S MAIN ST, STE 5, OTTAWA, KS 66067-3544
(316) 962-3030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7627
KS
Other
Enumeration date
06/14/2011
Last updated
09/27/2019
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