Individual
STEPHEN MICHAEL MATLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7901 W 135TH ST, OVERLAND PARK, KS 66223
(913) 451-7546
(913) 663-2411
Mailing address
7901 W 135TH ST, OVERLAND PARK, KS 66223-1201
(913) 451-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
04-46232
KS
207ND0101X
MOHS-Micrographic Surgery Physician
04-46232
KS
Other
Enumeration date
04/07/2018
Last updated
07/21/2022
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