Individual
DR. MATTHEW HARRIS CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 WATERFRONT PKWY, #200, WICHITA, KS 67206-6614
(316) 681-2227
(316) 684-5250
Mailing address
1700 N WATERFRONT PKWY, #200, WICHITA, KS 67206-6618
(316) 681-2227
(316) 684-5250
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
KS0429556
KS
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
KS0429556
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100421630B
—
KS
Enumeration date
05/23/2006
Last updated
02/17/2022
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