Individual
KRISTEN ASHLEIGH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-7000
Mailing address
17308 E 49TH TERRACE CT S, INDEPENDENCE, MO 64055-5314
(601) 447-4581
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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