Individual
CJ-MATTHEW HESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 S 4TH ST, LEAVENWORTH, KS 66048-5082
(913) 713-2086
Mailing address
4100 S 4TH ST, LEAVENWORTH, KS 66048-5082
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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