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Individual

CHARLOTTA A MATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3421 FOREST AVE, GREAT BEND, KS 67530-3605
(620) 792-8171
(620) 792-3825
Mailing address
202 CRAIG ST, ELLINWOOD, KS 67526-1104

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
13-81197-062
KS

Other

Enumeration date
09/29/2025
Last updated
09/29/2025
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