Matthew John Holman, DC | |
4707 College Blvd Ste 106, Leawood, KS 66211-1679 | |
(913) 735-5717 | |
Not Available |
Full Name | Matthew John Holman |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 4707 College Blvd Ste 106, Leawood, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487159257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 01-05887 (Kansas) | Primary |
Provider Name | Arckcmo Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619465945 PECOS PAC ID: 2961732250 Enrollment ID: O20210402000191 |
Mailing Address | Practice Location Address |
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Matthew John Holman, DC 4707 College Blvd Ste 106, Leawood, KS 66211-1679 Ph: (913) 735-5717 | Matthew John Holman, DC 4707 College Blvd Ste 106, Leawood, KS 66211-1679 Ph: (913) 735-5717 |
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