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General NPI Number Information
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NPI Number | 1972188779
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Entity Type | Individual
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Provider Name | KIANA MARTINEZ
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Gender | Female
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Dates
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Enumeration Date | 03/12/2021
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 8929 PARALLEL PKWY
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City | KANSAS CITY
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State | KS
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Zip | 66112-3607
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Country | US
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Telephone | 913-596-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 11216 DELAWARE PKWY APT 4205
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City | KANSAS CITY
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State | KS
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Zip | 66109-3771
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Country | US
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Telephone | 816-830-0513
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | TMP-159932
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 80098
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License Number State | KS
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