Individual provider · Type 1 NPI

Keith Mathis

Emergency Registered Nurse · Springfield, MO

NPI number 1275160517 Active

Practice location

3801 S National Ave
Springfield, MO 65807-5210

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse Primary 163WE0003X2012019640 (MO)

Emergency Registered Nurse: Definition to come...

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About NPI 1275160517

Keith Mathis's National Provider Identifier is 1275160517, issued on Mar 25, 2020. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Springfield, MO. The record was last updated on Mar 25, 2020.