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Individual

KATE MARTIS

Active
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Individual

KATE MARTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-03315
NC
363A00000X
Physician Assistant
PA.60182624
WA
363AM0700X
Medical Physician Assistant
Primary
PA031060
DC

Other

Enumeration date
11/03/2010
Last updated
07/29/2014
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