Individual
CATHY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13509 W 67TH ST, SHAWNEE, KS 66216-2300
(816) 335-7438
Mailing address
13509 W 67TH ST, SHAWNEE, KS 66216-2300
(816) 335-7438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-106405-011
KS
163W00000X
Registered Nurse
Primary
2008021931
MO
Other
Enumeration date
09/06/2016
Last updated
09/30/2019
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