Individual
MARTIN N KATAMBWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
812 N 22ND ST, BLAIR, NE 68008-1128
(402) 426-4611
(402) 426-4642
Mailing address
4502 N 206TH ST, ELKHORN, NE 68022-6992
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
085004591
IL
363AM0700X
Medical Physician Assistant
2003004599
MO
363AM0700X
Medical Physician Assistant
Primary
2036
NE
Other
Enumeration date
02/21/2006
Last updated
04/30/2018
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