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Individual

KRISTEN MICHELLE MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
6700 ANTIOCH, SUITE 120, MERRIAM, KS 66204
(913) 652-9198
Mailing address
127 W 10TH ST, #410, KANSAS CITY, MO 64105-1761
(785) 341-5630

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-04231
KS
225100000X
Physical Therapist
Primary
2010039345
MO

Other

Enumeration date
09/23/2011
Last updated
09/23/2011
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