Individual
MRS. KYLEIGH ANN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 227-3361
Mailing address
3 SHEFFIELD LN, LIMA, OH 45805-3820
(419) 905-8659
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0039100
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/27/2024
Last updated
04/22/2025
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