Individual
KRISTIN MARIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4224
Mailing address
1412 E BOSTON ST, BROKEN ARROW, OK 74012-7260
(539) 250-9143
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
01/06/2024
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