IndividualActive
Matthew Kienstra, MD
NPI 1740329671 · Facial Plastic Surgery Physician · Springfield, MO
Provider details
- NPI number
- 1740329671
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2006003278 (MO)
Practice location
1965 S Fremont Ave
Suite 120
Springfield, MO 65804-2201
Phone: (417) 887-3223
Fax: (417) 820-3955
Mailing address
Po Box 2580
Springfield, MO 65801-2580
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2024-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.