Mattingly, Theresa Katherine
Mattingly, Theresa Katherine is an individual health care provider with primary practice located at 3265 Ne Ralph Powell Rd , Lees Summit MO 64064-2301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Mattingly, Theresa Katherine can be contacted via phone (816) 524-4747.Contact Information
Primary practice address
3265 Ne Ralph Powell Rd
Lees Summit MO 64064-2301
Phone: (816) 524-4747
Fax: (816) 524-4929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 125064953 | Illinois |
Profile Details
| NPI number | 1265849053 |
|---|---|
| LBN Legal business name | Mattingly, Theresa Katherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2014 |
| Last updated | Feb 8th, 2021 - 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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