Individual
MRS. KIMBERLY M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3000 N WICKHAM RD STE 5, MELBOURNE, FL 32935-2330
(321) 345-1880
Mailing address
3000 N WICKHAM RD STE 5, MELBOURNE, FL 32935-2330
(321) 652-2381
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9233303
FL
208000000X
Pediatrics Physician
APRN9233303
FL
363L00000X
Nurse Practitioner
APRN9233303
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9233303
FL
363LP2300X
Primary Care Nurse Practitioner
APRN9233303
FL
Other
Enumeration date
06/24/2011
Last updated
08/07/2025
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