NPI 1053362681

Matthew Cianciolo, DO

Practitioner Family Medicine Physician Lees Summit, MO

Practice location

Address: 20 NE Saint Lukes Blvd STE. 200, Lees Summit, MO 64086-6001
Phone: (813) 347-5100
Fax: (816) 347-5136
Mailing address: 901 E. 104th St. Mailstop 400n, Kansas City, MO 64131-9712

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2006004613 (MO)

Other Family Medicine providers in Missouri →

Registry record

NPI: 1053362681
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 May 2006
Record last updated: 22 Feb 2018

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.