| NPI Details | |
|---|---|
| NPI | 1063403418 |
| Gender | Female |
| Enumeration Date | 11/03/2005 |
| Last Updated | 06/10/2013 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 315 S PEARL AVE JOPLIN MO, 64801-2538, US |
|
| Phone | (417) 781-6228 |
| Fax | (417) 781-6248 |
| Business Location | |
|---|---|
| 315 S PEARL AVE JOPLIN MO, 64801-2538, US |
|
| Phone | (417) 781-6228 |
| Fax | (417) 781-6248 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YP2500X |
| License State | Missouri |
| License Number | 2004008789 |
| Remove 1063403418 NPI Number | |
According to our database, Kathy Martin M.S. NPI is 1063403418, taxonomy code is 101YP2500X and license number is 2004008789, license state is located at Missouri. Kathy Martin M.S. physically located at 315 S Pearl Ave, Joplin MO, 64801-2538. NPI Number Kathy Martin M.S. has the Individual type.
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1063403418 NPI number is provided on an as is basis without warranty of any kind. 1063403418 is maintained by the National Plan & Provider Enumeration System. The contents of Kathy Martin M.S. are for informational purposes only.
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