Individual
DR. CHERRY G MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
12915 STATE LINE RD, KANSAS CITY, MO 64145-1238
(816) 941-6655
(816) 941-6673
Mailing address
12915 STATE LINE RD, KANSAS CITY, MO 64145-1238
(816) 941-6655
(816) 941-6673
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE005880
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16994013
BLUE SHIELD OF KCMO PIN
MO
01
—
64996
COVENTRY PIN
MO
Enumeration date
05/16/2007
Last updated
07/08/2007
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