Individual
ANN REBECCA ABBOTT MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1296 JEFFCO BLVD, ARNOLD, MO 63010-2138
(636) 321-8600
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-4862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024032114
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2024032114
LICENSE
MO
Enumeration date
04/06/2021
Last updated
09/27/2024
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