Individual
KEVIN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(786) 281-4220
Mailing address
603 3RD AVE, CORALVILLE, IA 52241-2001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23309
IA
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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