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NPI Code Detail

MEDICARE: COY RYAN MATTHEWS MD

MEDICARE:   COY RYAN MATTHEWS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician04-43105KS
2208000000XPediatrics PhysicianA151507CA

General Provider Information

NPI Number : 1326492356
Entity Type Code : Individual
Provider Name (Legal Business Name) : COY RYAN MATTHEWS MD
Provider Business Mailing Address
First Line : 700 MEDICAL CENTER DRIVE
Second Line : STE 150
City : NEWTON
State : KS
Zip : 67114-9015
Country : US
Telephone Number : 316-283-7100
Fax Number : 316-283-7118
Provider Business Practice Location Address
First Line : 700 MEDICAL CENTER DRIVE
Second Line : STE 150
City : NEWTON
State : KS
Zip : 67114-9015
Country : US
Telephone Number : 316-283-7100
Fax Number : 316-283-7118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2016
Last Update Date : 02/10/2021

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Directions to “ COY RYAN MATTHEWS MD” Practice Location

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