Individual
REBECCA JOANNE MARTIN
Active
Individual
REBECCA JOANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0440835
KS
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
0440835
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201204100A
—
KS
Enumeration date
06/14/2015
Last updated
08/18/2025
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