Individual
MS. SHELLEY FAY MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH ECP II
Contact information
Practice address
21 N 12TH ST STE 300, KANSAS CITY, KS 66102-5105
(913) 342-2552
(913) 428-8999
Mailing address
21 N 12TH ST STE 300, KANSAS CITY, KS 66102-5105
(913) 342-2552
(913) 428-8999
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10670
KS
124Q00000X
Dental Hygienist
2011037744
MO
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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