Individual provider · Type 1 NPI

McKenzie Anne Matlock, PA

Medical Physician Assistant · Springfield, MO

NPI number 1912407032 Active

Practice location

3801 S National Ave, Div Ped Hospitalist Med
Springfield, MO 65807-5210

Call (417) 269-7728 Map

Fax (417) 269-7729

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Other practice locations

  • 151 Johnstown Dr, Rogersville, MO 65742-9366 · (417) 269-0000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2018003866 (MO)

Medical Physician Assistant: Definition to come...

320 other providers at this address

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About NPI 1912407032

McKenzie Anne Matlock, PA's National Provider Identifier is 1912407032, issued on Feb 15, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Springfield, MO. The record was last updated on Oct 28, 2026.