Matthews, Kimberly Diane

Matthews, Kimberly Diane is an individual health care provider with primary practice located at 9119 W 74Th St Ste 300, Shawnee Mission KS 66204-2236. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Matthews, Kimberly Diane can be contacted via phone (913) 677-3113.

Contact Information

Primary practice address
9119 W 74Th St Ste 300 Shawnee Mission KS 66204-2236
Fax: (913) 677-4514
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 04-32836 Kansas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2007006298 Missouri

Profile Details

NPI number 1003843327
LBN Legal business name Matthews, Kimberly Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Sep 15th, 2011 - about 15 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 1003843327 NPPES
Kansas MEDICAID 200452860B
Kansas Other CS0974
Kansas Other 39117034

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