DR. MATTHEW HARRIS CONRAD M.D. NPI 1700831294

NPI Information

DR. Matthew Harris Conrad, M.D. is a plastic and reconstructive surgery surgery in Wichita, KS with 28 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Matthew Harris Conrad, M.D. NPI is 1700831294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:1996

The provider's business location address is:

1700 WATERFRONT PKWY
#200
WICHITA, KS
ZIP 67206-614
Phone: (316) 681-2227
Fax: (316) 684-5250

The NPI 1700831294 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 2/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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