Provider Demographics
NPI:1609968262
Name:AITKENS, MARTHA LEE
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:LEE
Last Name:AITKENS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13047 KANSAS AVE
Mailing Address - Street 2:
Mailing Address - City:BONNER SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:66012-9206
Mailing Address - Country:US
Mailing Address - Phone:913-441-4050
Mailing Address - Fax:913-441-9300
Practice Address - Street 1:13047 KANSAS AVE
Practice Address - Street 2:
Practice Address - City:BONNER SPRINGS
Practice Address - State:KS
Practice Address - Zip Code:66012-9206
Practice Address - Country:US
Practice Address - Phone:913-441-4050
Practice Address - Fax:913-441-9300
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4268111N00000X
HI727111N00000X
MO6397111N00000X
OK3316111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSBC/BSOther22143021
KSPHPOther22143011