Individual
MRS. STEPHANIE B MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 WASHINGTON, ELLIS, KS 67637
(785) 726-3644
Mailing address
511 WASHINGTON, ELLIS, KS 67637
(785) 726-3644
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00100947089
—
KS
Enumeration date
12/13/2006
Last updated
07/08/2007
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