Matteson-Kome, Michelle L
Matteson-Kome, Michelle L is an individual health care provider with primary practice located at 101 S Fairview Rd , Columbia MO 65203-7637. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Matteson-Kome, Michelle L can be contacted via phone (573) 884-7600.Contact Information
Primary practice address
101 S Fairview Rd
Columbia MO 65203-7637
Phone: (573) 884-7600
Fax: (573) 884-8200
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 132000 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 132000 | Missouri |
Profile Details
NPI number | 1669429387 |
---|---|
LBN Legal business name | Matteson-Kome, Michelle L |
Credentials | FNP/GNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 28th, 2006 |
Last updated | Sep 15th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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