Individual
MELISSA MARTINEZ HUCKLEBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 E 29TH ST N STE 310, WICHITA, KS 67226-2160
(316) 858-9000
(316) 858-9005
Mailing address
9300 E 29TH ST N STE 310, WICHITA, KS 67226-2160
(316) 858-9000
(316) 858-9005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-78661
KS
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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