Most Relevant Information
Provider Data
| NPI Number: | 1003445990 |
| Provider Name: | MATTHEW TIMOTHY MYRICK MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 2020019358 |
Most Important Dates
| Enumeration Date: | 04/03/2020 |
| Last Updated: | 08/15/2023 |
Provider Practice Location
100 NE SAINT LUKES BLVD
LEES SUMMIT
MO
640866000
Practice Location Phone/Fax
| Phone: | 8169320340 |
| Fax: | 8169323148 |
Provider Mailing Location
7900 LEES SUMMIT RD
KANSAS CITY
MO
641391246
Provider Mailing Phone/Fax
| Phone: | 8164049597 |
| Fax: | 8164047756 |
Suggested EMR
Family Practice EMR