Healthcare Provider Details

I. General information

NPI: 1215869086
Provider Name (Legal Business Name): MATTHEW CARL DUMLER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 E 8TH ST STE D
HAYS KS
67601-4748
US

IV. Provider business mailing address

1300 EISENHOWER RD
HAYS KS
67601-2532
US

V. Phone/Fax

Practice location:
  • Phone: 785-260-0924
  • Fax:
Mailing address:
  • Phone: 785-259-1497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW14852
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: