Individual
CAREY LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 228-7634
(907) 228-8332
Mailing address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 228-7634
(907) 228-8332
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
39484
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109706502
—
TX
01
—
80224C
BC/BS
TX
Enumeration date
11/22/2005
Last updated
06/16/2010
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