Martin, Kathy

Martin, Kathy is an sole proprietor health care provider with primary practice located at 315 S Pearl Ave , Joplin MO 64801. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Martin, Kathy can be contacted via phone (417) 781-6228.

Contact Information

Primary practice address
315 S Pearl Ave Joplin MO 64801
Phone: (417) 781-6228
Fax: (417) 781-6248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2004008789 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 2005035596 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2005035596 Missouri

Profile Details

NPI number 1063403418
LBN Legal business name Martin, Kathy
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2005
Last updated Jun 25th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063403418 NPPES
Missouri MEDICAID 1003149261
Missouri MEDICAID 20048789
Missouri MEDICAID 244

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