Individual
DR. KELSEY CHAE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
529 E MAIN ST, BRIDGEPORT, WV 26330-1824
(304) 842-4202
Mailing address
42 SPRUCE RDG, HURRICANE, WV 25526-8410
(304) 400-3548
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1094
WV
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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