Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith Mathis

Individual provider Emergency Registered Nurse · NPI 1275160517

Keith Mathis is an Emergency Registered Nurse in Springfield, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2020
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Practice location Address checks out

3801 S National Ave
Springfield, MO 65807-5210
Phone: (417) 225-9823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Registered Nurse (primary) Taxonomy 163WE0003X · Licence 2012019640 (MO)

Record details

NPI number1275160517
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 25, 2020
Last updated in NPPESMarch 25, 2020
Certification dateMarch 25, 2020

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