Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0531375 | KS |
N | 207Q00000X | Family Doctor | 2016016988 | MO |
NPI | 1003840547 |
---|---|
Provider Name | Dr. Darren R Matchell |
First Address | Colby, KS 67701-3716 |
Second Address | Colby, KS 67701-3716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 17/03/2018 |