Individual
MATTHEW JAMES MACKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10701 NALL AVE STE 200, OVERLAND PARK, KS 66211-1358
(806) 680-2652
Mailing address
10701 NALL AVE STE 200, OVERLAND PARK, KS 66211-1358
(806) 680-2652
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
04-45829
KS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2022008451
MO
Other
Enumeration date
06/02/2017
Last updated
11/28/2023
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