Amber Dawn Martin, R.D.

Individual provider Active NPI Registered Dietitian · Beloit, KS

NPI 1639460561 · NPPES record last updated Mar 19, 2012

Key facts

NPI
1639460561
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1544 (KS)
Practice address
605 N Hersey Ave
Beloit, KS 67420-2320
Phone
(785) 534-0010
NPI assigned
Apr 26, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1544 KS Yes

Addresses

Primary practice location

605 N Hersey Ave
Beloit, KS 67420-2320

Mailing address

605 N Hersey Ave
Beloit, KS 67420-2320
Phone (785) 534-0010

Other providers in Beloit, KS

All providers in Beloit, KS · Registered Dietitian in Kansas

Sources for this page

Verify at the official NPI Registry.