Individual
MRS. SUSAN D MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD/LD/CDE
Contact information
Practice address
200 S HILLSIDE, WICHITA, KS 67211
(316) 687-3125
(316) 687-0286
Mailing address
200 S HILLSIDE, WICHITA, KS 67211
(316) 687-3125
(316) 687-0286
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
588
KS
Other
Enumeration date
06/16/2005
Last updated
07/08/2007
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