Matthews, Coy Randolph

Matthews, Coy Randolph is an individual health care provider with primary practice located at 100 W Ross Blvd Ste 1B , Dodge City KS 67801-7217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Matthews, Coy Randolph can be contacted via phone (620) 371-5576.

Contact Information

Primary practice address
100 W Ross Blvd Ste 1B Dodge City KS 67801-7217
Phone: (620) 371-5576
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36388 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 04-44067 Kansas

Profile Details

NPI number 1528028149
LBN Legal business name Matthews, Coy Randolph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Aug 25th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528028149 NPPES
North Carolina MEDICAID 8954811

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