Individual
MATTHEW BRYAN EARNEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9119 W 74TH ST STE 350, MERRIAM, KS 66204-2268
(913) 632-9400
(913) 632-9444
Mailing address
9119 W 74TH ST STE 350, MERRIAM, KS 66204-2268
(913) 632-9400
(913) 632-9444
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
04-31399
KS
207RC0000X
Cardiovascular Disease Physician
2007010291
MO
207RI0011X
Interventional Cardiology Physician
Primary
04-31399
KS
207RI0011X
Interventional Cardiology Physician
2007010291
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730246992
—
MO
05
—
200572210A
—
KS
01
—
41386011
BC BS KC
MO
Enumeration date
01/03/2007
Last updated
07/25/2023
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