NPI 1093887440

Kevin Charles Matthews, LO

Practitioner Orthotist Live Oak, TX

Practice location

Address: 12315 Judson Rd #206, Live Oak, TX 78233-3277
Phone: (210) 657-8100
Fax: (210) 657-8105

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 558 (TX)

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Registry record

NPI: 1093887440
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2006
Record last updated: 31 Dec 2007

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.