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1619420718
PHILLIP K MARTIN
WICHITA, KS
NPI
1619420718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: KS 2379)
Enumeration Date
2016-07-26
Last Update Date
2016-07-26
Business Address
Dr. PHILLIP K MARTIN PhD
7829 E ROCKHILL ST ATTN: CREDENTIALING
WICHITA, KS 67206-3920
Phone number: 316-293-3850
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Mailing Address
Dr. PHILLIP K MARTIN PhD
1010 N KANSAS ST STE 3054 ATTN: CREDENTIALING
WICHITA, KS 67214-3124
Phone number: 316-293-2611
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