Individual
KATHRYN NICOLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNM
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 453-5000
Mailing address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 453-5000
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R101689
OK
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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