Individual
MATTHEW LIGHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 ALBERT AVE, SCOTT CITY CLINIC, SCOTT CITY, KS 67871-6117
(620) 872-2187
(620) 872-2830
Mailing address
201 ALBERT AVE, SCOTT CITY, KS 67871
(620) 872-2187
(620) 872-7193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-35337
KS
207Q00000X
Family Medicine Physician
7376
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201157720A
—
KS
Enumeration date
05/27/2010
Last updated
01/04/2018
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