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Individual

DR. KELLY ANN MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(760) 736-6700
(760) 736-8740
Mailing address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(760) 736-6700
(760) 736-8740

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A119682
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3858222726
MYUTMB 3858222726-COMMERCIAL NUMBER
01
FW987X
IND PTAN
CA
01
W14158
NHC PTAN
CA
Enumeration date
06/14/2007
Last updated
11/29/2021
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