NPI 1013667401

Mitchell Paul Matis

Practitioner Student in an Organized Health Care Education/Training Program Lenexa, KS

Practice location

Address: 10500 Quivira Rd, Lenexa, KS 66215-2306
Phone: (913) 541-5000
Mailing address: 12200 W 106th St STE 325, Overland Park, KS 66215-2305

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1013667401
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Mar 2022
Record last updated: 28 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.