Individual
KELLY ANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3845 BROADWAY BLVD, KANSAS CITY, MO 64111-2507
(816) 561-7620
Mailing address
4056 WARWICK BLVD APT 5, KANSAS CITY, MO 64111-1646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
116544
KS
183500000X
Pharmacist
Primary
2014026319
MO
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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