Individual
MARLEY PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 EISENHOWER AVE, GREAT BEND, KS 67530-3213
(620) 792-5437
Mailing address
911 W 13TH ST, LARNED, KS 67550-1907
(620) 804-3377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
89757
NE
363L00000X
Nurse Practitioner
Primary
53-82224-021
KS
Other
Enumeration date
08/10/2022
Last updated
10/31/2023
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