| Mary Lynn Martin Aprn Llc | |
|
11020 King St Ste 220 Overland Park KS 66210-1201 | |
| (913) 730-7746 | |
| Not Available |
| Full Name | Mary Lynn Martin Aprn Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11020 King St Ste 220, Overland Park, Kansas |
| Authorized Official Name and Position | Mary Lynn Martin (OWNER / APRN) |
| Authorized Official Contact | 9139612904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lynn Martin Aprn Llc 14645 Nw 66th St Parkville MO 64152-8726 Ph: (913) 961-2904 | Mary Lynn Martin Aprn Llc 11020 King St Ste 220 Overland Park KS 66210-1201 Ph: (913) 730-7746 |
| NPI Number | 1144909441 |
|---|---|
| Provider Enumeration Date | 07/13/2023 |
| Last Update Date | 07/13/2023 |
| Medicare PECOS PAC ID | 3779945076 |
|---|---|
| Medicare Enrollment ID | O20230818000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144909441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mary Lynn Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013209188 PECOS PAC ID: 1850579947 Enrollment ID: I20230818000888 |
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