Conrad, Matthew Harris

Conrad, Matthew Harris is an sole proprietor health care provider with primary practice located at 1700 Waterfront Pkwy #200, Wichita KS 67206-6614. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Conrad, Matthew Harris can be contacted via phone (316) 681-2227.

Contact Information

Primary practice address
1700 Waterfront Pkwy #200 Wichita KS 67206-6614
Phone: (316) 681-2227
Fax: (316) 684-5250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X KS0429556 Kansas
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X KS0429556 Kansas

Profile Details

NPI number 1700831294
LBN Legal business name Conrad, Matthew Harris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Feb 17th, 2022 - about 4 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 1700831294 NPPES
Kansas MEDICAID 100421630B

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