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Individual

MATTHEW JOHN BYERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 N MINNEAPOLIS ST, WICHITA, KS 67214-3127
(316) 293-2647
Mailing address
1010 N KANSAS ST STE 3054, WICHITA, KS 67214-3124
(316) 293-2611
(316) 293-1882

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-45614
KS
2084P0800X
Psychiatry Physician
K5843
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038194901
TX
05
30004789240001
KS
Enumeration date
05/02/2006
Last updated
06/20/2023
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