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Individual

KIMBERLY LYNN MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
141 TWIN LAKE LN, PRINCETON, WV 24739-9591
(304) 888-8596
Mailing address
141 TWIN LAKE LN, PRINCETON, WV 24739-9591
(304) 888-8596

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
L1M11160
WV

Other

Enumeration date
12/14/2019
Last updated
12/14/2019
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