NPI 1104380559
Kiera Mattern
Practice location
- Address
- 211 Redbird Ln, Beaumont, TX 77705-9801
- Phone
- (303) 323-5221
- Mailing address
- PO Box 10066, Beaumont, TX 77710-0066
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1104380559
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Jan 2019
- Record last updated
- 2 Nov 2020
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.