Individual provider · Type 1 NPI

Kelly Dawn Mattix, MD

Pediatric Surgery Physician · Springdale, AR

NPI number 1063685956 Active

Practice location

2601 Gene George Blvd
Springdale, AR 72762-0845

Call (479) 725-6800 Map

Fax (479) 725-6582

Mailing address

PO Box 959794
St. Louis, MO 63195-9794

Other practice locations

  • 1901 SW H K Dodgen Loop, Temple, TX 76502-1814 · (254) 724-5437

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XE-17038 (AR)
Pediatric Surgery Physician Primary 2086S0120XE-17038 (AR)
Pediatric Surgery Physician 2086S0120XN7560 (TX)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

107 other providers at this address

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About NPI 1063685956

Kelly Dawn Mattix, MD's National Provider Identifier is 1063685956, issued on Apr 11, 2008. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Springdale, AR. The record was last updated on Oct 2, 2026.