Most Relevant Information
Provider Data
| NPI Number: | 1003586660 |
| Provider Name: | MIGUEL ANGEL MARTINEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/15/2021 |
| Last Updated: | 08/16/2024 |
Provider Practice Location
220 W 15TH ST
KEARNEY
NE
688456763
Practice Location Phone/Fax
| Phone: | 3082360500 |
| Fax: |
Provider Mailing Location
PO BOX 1686
KEARNEY
NE
688481686
Provider Mailing Phone/Fax
| Phone: | 3082360500 |
| Fax: |