Individual
MS. MCKENZIE ANNE MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3801 S NATIONAL AVE, DIV PED HOSPITALIST MED, SPRINGFIELD, MO 65807-5210
(417) 269-7728
(417) 269-7729
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(417) 269-7728
(417) 269-7729
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018003866
MO
363AM0700X
Medical Physician Assistant
Primary
2018003866
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220051879
—
MO
Enumeration date
02/15/2018
Last updated
04/14/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us