Individual
CHELSI N MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4801 COLLEGE BLVD, LEAWOOD, KS 66211-1628
(913) 721-3387
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(816) 478-4200
(816) 875-2598
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14128752042
KS
363L00000X
Nurse Practitioner
Primary
5380282042
KS
363LF0000X
Family Nurse Practitioner
2021051086
MO
Other
Enumeration date
01/13/2022
Last updated
07/26/2024
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