Marta J. Edmonds, M.D.

Pediatrics Physician · Great Bend, KS

Individual Active NPI

NPI number 1669450847

Practice location

1021 Eisenhower Ave
Great Bend Children's Clinic, P.A.
Great Bend, KS 67530-3213
Phone
(620) 792-5437

Open in Google Maps

NPI record

NPI
1669450847
Entity type
Individual (Type 1)
Enumeration date
January 6, 2006
Last updated
May 25, 2021
Certified
May 25, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 0423536 KS

Mailing address

209 NE 10 Rd
PO Box 1816
Great Bend, KS 67530-8818
Phone
(620) 792-4121

About Dr. Edmonds

Marta J. Edmonds, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1021 Eisenhower Ave, Great Bend Children's Clinic, P.A., Great Bend, KS 67530-3213. The NPI number 1669450847 was assigned on January 6, 2006 and the record was last updated on May 25, 2021.

Dr. Edmonds lists a license in the registry: #0423536 (KS) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marta J. Edmonds, M.D.?

The NPI number is 1669450847.

What is the phone number of Dr. Edmonds?

The phone number listed for the practice location is (620) 792-5437.

Where is Dr. Edmonds located?

1021 Eisenhower Ave, Great Bend Children's Clinic, P.A., Great Bend, KS 67530-3213.

What is the taxonomy code for Dr. Edmonds?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pediatrics Physician providers in Great Bend

All Pediatrics Physician providers in Great Bend, KS →