Individual
COLLEEN MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139
(816) 404-7650
Mailing address
2310 HOLMES ST STE 800, KANSAS CITY, MO 64108-2602
(816) 404-8188
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019003931
MO
208000000X
Pediatrics Physician
4301107087
MI
Other
Enumeration date
05/07/2015
Last updated
11/21/2019
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