Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA KATHERINE MATTINGLY, M.D.
ActiveTHERESA KATHERINE MATTINGLY, M.D. is a Dermatology healthcare provider located in LEES SUMMIT, Missouri. NPI 1265849053 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LEES SUMMIT, MO
Registration Details
- NPI Number
- 1265849053
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 14, 2014 (12.116233678078 yrs)
- Last Updated
- Feb 8, 2021
- License
-
125064953 (IL)
Practice Information
- Address
-
3265 NE RALPH POWELL RDLEES SUMMIT, MO, 640642301Browse MO providers · Browse ZIP 64064
- Phone
- 8165244747
- Fax
- 8165244929
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in LEES SUMMIT, MO
| Name | Credential | NPI |
|---|---|---|
| DAVID RYAN FIELEKE | MD | 1679760417 |
| JULIE ANN GREEN | MD | 1184935256 |
| MATTHEW WAYNE MCEWEN | MD | 1730686643 |
| ARAYA ZAESIM | MD | 1588142517 |
| GRANT JEFFREY RANDALL | MD | 1245793728 |
| DR. BREA NICOLE STURM | MD | 1710501184 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.