Theresa Mattingly, M.D

NPI 1265849053 · on the registry since 2014

Practice

Address: 3265 Ne Ralph Powell Rd
Lees Summit, MO 64064
Phone: (816) 524-4747
Fax: (816) 524-4929
Organisation at this address: Skin & Mohs Surgery Center, Llc
Dermatology And Skin Cancer Specialists, Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 207N00000X
207N00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-02-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri