Individual
KINDALL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(870) 688-8154
Mailing address
1031 MCINTOSH CIR, JOPLIN, MO 64804-3643
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
PENDING
MO
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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