Individual
DR. TIMOTHY JAMES MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10600 QUIVIRA RD STE 200, OVERLAND PARK, KS 66215-2311
(913) 541-0990
(913) 541-1452
Mailing address
10600 QUIVIRA RD STE 200, OVERLAND PARK, KS 66215-2311
(913) 541-0990
(913) 541-1452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
423578
KS
207V00000X
Obstetrics & Gynecology Physician
Primary
423578
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100127710A
—
KS
Enumeration date
12/02/2005
Last updated
03/06/2020
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