Individual
BETHANY MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
802 LAWRENCE ST, PRATT, KS 67124-1436
(620) 770-6844
Mailing address
414 N OAK ST, PRATT, KS 67124-1611
(785) 302-1473
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
127347
KS
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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