Individual
KELLY ANNE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
123 HOW LN, NEW BRUNSWICK, NJ 08901-3653
(732) 745-8600
Mailing address
123 HOW LN, NEW BRUNSWICK, NJ 08901-3653
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86035389
NJ
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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