Individual
GRETCHEN L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1015 S MOUNT CARMEL PL, PITTSBURG, KS 66762-6604
(620) 232-5581
Mailing address
1015 S MOUNT CARMEL PL, PITTSBURG, KS 66762-6604
(620) 232-5581
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501105
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000427029
BCBS
KS
Enumeration date
11/13/2006
Last updated
06/13/2023
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