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Individual
MR. SEAN F MARTINDALE
Active
Individual
MR. SEAN F MARTINDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
1090199
KY
363LF0000X
Family Nurse Practitioner
28143085A
IN
363LF0000X
Family Nurse Practitioner
Primary
3010370
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100424600
—
KY
Enumeration date
05/28/2007
Last updated
07/28/2023
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