NPI 1265849053

Theresa Katherine Mattingly, MD

Practitioner Dermatology Physician Lees Summit, MO

Practice location

Address: 3265 NE Ralph Powell Rd, Lees Summit, MO 64064-2301
Phone: (816) 524-4747
Fax: (816) 524-4929

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 125064953 (IL)

Other Dermatology providers in Missouri →

Registry record

NPI: 1265849053
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2014
Record last updated: 8 Feb 2021

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.