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Individual

MS. BARBARA A MARTIN SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
(816) 861-1110
Mailing address
35007 COLBERN RD, LONE JACK, MO 64070
(816) 697-2657
(816) 861-1110

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
082578
MO
163W00000X
Registered Nurse
14-73710-031
KS
163W00000X
Registered Nurse
74635
KS

Other

Enumeration date
08/10/2006
Last updated
07/08/2007
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