Individual
MARTIN R DOLPHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
3901 RAINBOW BLVD, ORTHOPEDIC SURGERY, MS 3017, KANSAS CITY, KS 66160
(913) 588-6100
(913) 588-8186
Mailing address
3901 RAINBOW BLVD, 4070 DELP, MS 4017, KANSAS CITY, KS 66160
(913) 588-6100
(913) 588-8186
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
11-03276
KS
2251S0007X
Sports Physical Therapist
Primary
11-03276
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100644020A
—
KS
01
—
300103063
RAILROAD MEDICARE
—
01
—
31813022
BCBS KC
MO
05
—
489114801
—
MO
Enumeration date
09/05/2006
Last updated
06/22/2011
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