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Contact Information

JON R MATTSON, DO
5830 NW BARRY RD
KANSAS CITY, MO64154-2778
 Phone: 816-880-6200
 Fax: 816-880-6206
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for JON R MATTSON · (Male)

NPI Number 1346253580
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/15/2006
Last updated 03/14/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2000165578
  • MO Medicaid 502240708
  • MO Other T92000001 MEDICARE PTAN CLINIC
  • MO Other W05000001 MEDICARE PTAN-HOSPITAL
Hospital affiliation(s)
  • ST LUKES HOSPITAL OF KANSAS CITY - (Acute Care)
    4401 WORNALL ROAD
    KANSAS CITY, MO 64111
  • ST LUKES NORTHLAND HOSPITAL - (Acute Care)
    5830 N W BARRY ROAD
    KANSAS CITY, MO 64154
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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