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General NPI Number Information
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NPI Number | 1871098467
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Entity Type | Individual
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Provider Name | MATTHEW RYAN LOUIS MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 551 N HILLSIDE ST STE 550
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City | WICHITA
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State | KS
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Zip | 67214-4928
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Country | US
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Telephone | 316-235-3933
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Fax | 844-670-8666
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Provider Business Mailing Address
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Address Line | 551 N HILLSIDE ST STE 550
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City | WICHITA
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State | KS
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Zip | 67214-4928
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Country | US
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Telephone | 316-235-3933
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Fax | 844-670-8666
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D89299
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 04-50753
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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