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Individual

KAILEY MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(270) 312-7271
Mailing address
611 CEDAR DR, ELIZABETHTOWN, KY 42701-2109
(270) 312-7271

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1161419
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
152381
KY

Other

Enumeration date
11/22/2021
Last updated
02/17/2025
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