Individual
LUCAS J MATHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2790 CLAY EDWARDS DRIVE, SUITE 650, NORTH KANSAS CITY, MO 64116
(816) 259-7500
Mailing address
2790 CLAY EDWARDS DR STE 650, NORTH KANSAS CITY, MO 64116-3279
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018020937
MO
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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