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MARTIN N KATAMBWA PA-C

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1881669075

Individual Registrant:
 MARTIN N KATAMBWA PA-C
Gender: M
Sole Proprietor

Location and contact information for practice:
812 N 22ND ST  BLAIR, NE 68008-1128 US
Tel: 402-426-4611  Fax: 402-426-4642

Contact information for business:
812 N 22ND ST  BLAIR, NE 68008-1128 US
Tel: 402-426-4611  Fax: 402-426-4642

Registration Information:
NPI: 1881669075
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
MO2003004599
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
NE2036
N363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
IL085004591

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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