Individual
KELLY ANN MARTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13551 WATERFORD PL, MIDLOTHIAN, VA 23112-3929
(804) 320-4243
(804) 622-0552
Mailing address
1000 BOULDERS PKWY STE 102, NORTH CHESTERFIELD, VA 23225-5515
(804) 320-4243
(804) 622-0552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178186
VA
Other
Enumeration date
11/23/2019
Last updated
08/12/2024
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