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Individual
MRS. KELLY M MARTINO
Active
Individual
MRS. KELLY M MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60863154
WA
367A00000X
Advanced Practice Midwife
Primary
AP60864424
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174872303
—
WA
Enumeration date
09/04/2012
Last updated
01/18/2022
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