Individual
MATTHEW LONGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
Mailing address
8635 BROME RD, DE SOTO, KS 66018-9304
(808) 721-5260
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
13101748121
KS
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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