NPI 1396524500

Matthew Thomas Johns

Practitioner Peer Specialist Independence, KS

Practice location

Address: 116 E Sycamore St, Independence, KS 67301-2827
Phone: (162) 077-9163

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1396524500
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2023
Record last updated: 26 Sep 2023

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.