Individual
KAYLEIGH MAE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-4508
(607) 735-5738
Mailing address
600 ROE AVENUE, EMERGENCY DEPARTMENT, ELMIRA, NY 14905-1676
(607) 737-4508
(607) 735-5738
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016278
NY
Other
Enumeration date
01/14/2013
Last updated
05/15/2018
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