Individual
CHRISTOPHER M MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
4321 WASHINGTON ST., SUITE 5100, KANSAS CITY, MO 64111
(913) 491-9100
(913) 491-9135
Mailing address
901 E 104TH ST, MAILSTOP 400, KANSAS CITY, MO 64131
(816) 599-9499
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2006039333
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851631576
—
MO
Enumeration date
02/16/2013
Last updated
11/09/2017
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