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Search › Kansas › 225200000X

Tim Mathias

NPI 1386063410 · on the registry since 2014 · sole proprietor

Practice

Address
501 Easy St
Goddard, KS 67052
Phone
(316) 794-8635
Organisation at this address
Ml-Op Goddard Llc
Medicalodges, Inc.
Medicalodges, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-04-16

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 Kansas