Matrix Medical Network of Kansas PA

NPI #1669770095 in Overland Park, Kansas

Provider Information

NPI Number
1669770095
Entity Type
Organization
Organization Name
Matrix Medical Network of Kansas PA
Subpart
Yes (part of a larger organization)
Parent Organization
COMMUNITY CARE HEALTH NETWORK INC
Primary Specialty
Nurse Practitioner
Enumeration Date
Mar 9, 2011
Last Updated
Dec 11, 2019

Practice Location

Address
9393 W 110TH ST STE 500
State
Kansas
ZIP Code
66210-1464
Phone
(480) 862-1716

Authorized Official

Name
VICTORIA ALVAREZ
Title
DIRECTOR, CREDENTIALING
Phone
(480) 862-1695

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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