NPI 1063275394
Matthew Cha
Practice location
- Address
- 500 W Jefferson St, Kirksville, MO 63501
- Phone
- (866) 626-2878
- Mailing address
- 2112 S High St APT B, Kirksville, MO 63501-4756
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1063275394
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Jan 2024
- Record last updated
- 31 Jan 2024
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.