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Individual

MRS. KELLY M MARTINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, ARNP

Contact information

Practice address
5350 TALLMAN AVE NW STE 420, SEATTLE, WA 98107-5902
(206) 781-6080
(206) 781-6285
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60863154
WA
367A00000X
Advanced Practice Midwife
Primary
AP60864424
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1174872303
WA
Enumeration date
09/04/2012
Last updated
01/18/2022
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