Individual
SANDRA L MARTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7111 E 21ST ST N STE A, WICHITA, KS 67206
(316) 684-2851
(316) 683-5239
Mailing address
7111 E 21ST ST N STE A, WICHITA, KS 67206-1078
(316) 684-2851
(316) 683-5239
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000578
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
723310
REGISTERED DIETITAN
—
Enumeration date
04/26/2006
Last updated
07/10/2018
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